1. The vaginal examination (dilatation, distension) |
2. Pelvic examination (fontanelles and ischial spines) |
3. Identification of cephalic presentation and fetal head position, and crowning |
4. Delivery with the cephalic presentation, including rotation and descent surgery, protection of the perineum, head removal, neck umbilical cord check, shoulder and trunk removal, placing the baby on the mother’s chest for skin-to-skin contact, assessment of placenta separation, controlled umbilical cord tension, placenta birth, examination and monitoring of uterus contraction and umbilical cord clamping after childbirth |