b. Call for Help. Do not leave the patient unattended.
c. Obtain a Sterile Obstetric or Precipitate Delivery Pack, if Available. The
pack contains a variety of supplies to include towels, drapes, sanitary pads, and so
forth. Priority equipment includes:
(1) Gloves - sterile gloves are preferred as they help promote asepsis,
however, if non-sterile gloves are available they should be utilized as protection for the
Towel/cloth-to provide a friction surface for control of delivery of the fetal
Bulb syringe-for aspiration of amniotic fluid from the infant's mouth.
Hemostats or cord clamps-to clamp the umbilical cord.
Scissors-to cut the episiotomy/cord.
Dry blanket/towel-to wrap the infant after delivery.
d. Provide the Cleanest Environment Possible. If no sterile equipment is
available this should include:
Paper, towel, blanket, or coat to place under the patient's buttocks.
Ligating material such as string, yarn, or shoelaces to tie the cord.
A sharp instrument such as scissors, a knife, or a razor to cut the cord.
A dry cloth to wrap infant after delivery.
e. Provide for Asepsis to the Greatest Extent Possible.
(1) Pour Betadine over the patient's perineum if time does not permit for
Wash your hands and glove, if possible.
f. Support the Patient.
Keep the patient informed of plans for delivery.
(2) Speak in a calm tone and provide direction to available assistants (e.g.,