First Responder EMS Curriculum for Training Centers in Eurasia

12. As the feet are delivered, grasp the feet.• Keep the infant level with the vagina.• You may place the infant on the mother’s abdomen for warmth.13. When the umbilical cord stops pulsating, it should be tied with gauze between themother and the newborn, and the infant may be placed on the mother's abdomen.14. Wipe blood and mucus from the baby's mouth and nose with sterile gauze; suctionmouth, then the nose again.15. Dry the infant.16. Rub the baby's back or flick the soles of its feet to stimulate breathing.17. Wrap the infant in a warm blanket and place the infant on its side, head slightlylower than trunk.18. There is no need to cut the cord in a normal delivery. Keep the infant warm and waitfor additional EMS resources who will have the proper equipment to clamp and cutthe cord.19. Record time of delivery.20. If there is a chance of multiple births, prepare for second delivery.21. Observe for delivery of placenta. This may take up to 30 minutes.22. If the placenta is delivered, wrap it in a towel with 3/4 of the umbilical cord andplace in a plastic bag, and keep the bag at the level of the infant.23. Place sterile pad over vaginal opening, lower mother's legs, help her hold themtogether.288 First Responder EMS Curriculum/AIHA, July 2002