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Here, the baby is crowning. You don't have to touch the mom at all; you can just watch
for the head. Except if she's pushing really fast and hard, you may want to put your hand
on the baby's head lightly as so she doesn't injure her perineum or tear excessively and
-- cause you like the most controlled delivery as possible. Usually, the babies that come
fast are the ones that are not the first time mom. Usually those moms have to push a few
minutes, a half-hour, an hour; but the second, third, fourth babies... Those are the babies
that come really fast and sometimes just kind of explode out. You can see this baby is coming,
and have the mom, like, take some deep breaths in between the contractions; she doesn't have
to push the baby out completely. Just let her go at her own pace and how she feels the
pressure. This baby's coming right now, and the first thing that's going to come out is
the baby's face, hopefully, and you're going to have your bulb syringe ready and you're
going to depress the bulb syringe and suction the baby's mouth out first. See the baby is
exposed here... there is a cord here; wait until the baby is completely out. See if you
can separate that cord around the baby's head nicely like this. Okay, now you can tell the
mom, "Stop pushing," and you can suction the baby's mouth out -- pull it out (squish it
out there) cause this is what the first gulp of air they take in they can aspirate into
the lungs, and that's why that's important. It's not so important to do the nose, but
you can gently just go to the nose and squish some of that out. So, as you deliver the anterior
shoulder, which means the top shoulder first, and you bring that out and then the rest of
the baby will come out. Again you're going to suction the baby's mouth out. Tell the
mom, "You did a great job. Do some deep breathing." You don't have to clamp the cord right away.
In fact, if you leave it pumping for about two or three minutes, that gives the baby
a little extra blood, which may be beneficial to the baby. And, when you use your clamp,
just clamp it in two different spots and then cut in between. Leave enough of umbilical
cord in case the doctors do have to insert umbilical vein/artery catheter in case the
baby needed some IV fluids or whatever, so don't cut it too short. In a few minutes,
the placenta may deliver; it may not. I would not tug on it; don't pull on the cord. Again,
get her to the hospital and staff there can deal with that. It's not necessary to get
that delivered. Give yourself a pat on the back and put the baby on the mom's tummy.
Dry the baby off; that's the most important thing. Hopefully, the baby's crying. If not,
that would be the next important thing to do is stimulate the baby by drying the baby
and, once the baby's turning pink and moving, again give the baby to the mom and have her
do skin-to-skin. If she wants to try breast feeding, she can; otherwise, just put a nice
warm blanket around both mom and baby, but make sure she's skin-to-skin with the baby.