If the cord is pulsating, the fetus is alive.
Diagnose stage of labour by an immediate vaginal examination
If the woman is in the
first stage of labour, in all cases:
- Wearing high-level disinfected gloves, insert a hand into the vagina and push the presenting part up to decrease pressure on the cord and dislodge the presenting part from
- Place the other hand on the abdomen in the suprapubic region to keep the presenting part out of the pelvis;
- Once the presenting part is firmly held above the pelvic brim, remove the other hand from the vagina. Keep the hand on the abdomen until caesarean section;
- If available, give salbutamol 0.5 mg IV slowly over 2 minutes to reduce contractions;
- Perform immediate caesarean section.
• If the woman is in the
second stage of labour:
- Expedite delivery with episiotomy
and vacuum extraction
breech presentation, perform breech extraction
and apply Piper or long forceps to the after-coming head;
- Prepare for resuscitation of the newborn.
CORD NOT PULSATING
If the cord is not pulsating, the fetus is dead. Deliver in the manner that is safest for the woman.
Top of page