8. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat 1 6 5 4 3 2 Crowning of the Head Sub-Occipito frontal diameter distending the Vulval Outlet Assisted Delivery of the Head by Extension, exerting an upward pressure to the chin by the right hand placed over the Anococcygeal plane. Head is born by extension Head drops down with the Face close to the anus Restitution
9. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat 7 8 9 10 External Rotation Assisted Delivery of anterior Shoulder Assisted Delivery of Posterior Shoulder Cutting the Cord
10.
11. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat 11 12 13 Expression of the Placenta by Fundal pressure Expression of the Placenta by Controlled cord Traction Inspection of Placenta for membranes
12. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat Keep presenting part of baby off the Cord. Monitor & attempt to maintain the pulse in the cord Position of mother in Cord Prolapse LLP~ left lateral Position (NEVER SUCK THE NOSE FIRST)
13. 06/06/09 Dr. Rajeev Associate Partner PCR Cell EMRI Gujarat Uterine massage is performed from the Pubis towards the umbilicus only
