The mother begins to push and the child’s head is delivered, then it retracts back, his cheeks pressed against the vulva.
Which is the next BEST step to take in the delivery?
A. Push the baby’s head back into the birth canal gently, hold there, and transport to the OR for emergency Caesarean section
B. Manipulate the mother’s hips to perform an anterior pelvic tilt
C. Have the mother on all fours and then push with contractions
D. Coach the mother to continue to push in short, coordinated efforts as she feels the contraction, counting up to 10
In the meantime, a quote –
“Good judgement comes from experience; experience comes from bad judgement.”
– C Lillehei, MD