Managing Complications in Pregnancy and Childbirth: - IAWG

P-40 Breech delivery• Move the baby’s chest towards the woman’s inner leg. Theshoulder that is posterior should deliver.• Deliver the arm and hand.• Lay the baby back down by the ankles. The shoulder that isanterior should now deliver.• Deliver the arm and hand.FIGURE P-16Delivery of the shoulder that is posteriorDELIVERY OF THE HEADDeliver the head by the Mauriceau Smellie Veit manoeuvre (Fig P-17,page P-41) as follows:• Lay the baby face down with the length of its body over your handand arm.• Place the first and third fingers of this hand on the baby’scheekbones and place the second finger in the baby’s mouth topull the jaw down and flex the head.• Use the other hand to grasp the baby’s shoulders.• With two fingers of this hand, gently flex the baby’s head towardsthe chest, while applying downward pressure on the jaw to bringthe baby’s head down until the hairline is visible.• Pull gently to deliver the head.