G] Birth of the Baby ... III

• Tell the mother sex of baby and time of birth
• Do APGAR score Apgar testing; Electronic fetal monitoring
• Clamp and cut, or tie and cut cord.
• Initiate breastfeeding

2. Episiotomy
As the baby's head appears, the perineum may stretch so tight that the baby's progress is slowed down. If there is a risk of tearing the mother's skin, the midwife may choose to make a small incision into the perineum to enlarge the vaginal opening. This is called an episiotomy . The nurse will use a local anesthetic to numb the area. Once the episiotomy is made, the baby is born with a few pushes.

H] The Third Stage of Labour

This is from the delivery of the baby to complete delivery of placenta and membranes. It is managed through active management with 10 units of Pitocin. After the baby is delivered, the uterus should continue to contract in order to push out the placenta.