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The head is out and nothing follows

35 yG2P1GA 40+0Simulation

A big baby, a diabetic mother, a head that delivers and pulls back against the perineum.

Scenario clock 0 s

your time 0:00

HRbpm

100

BPmmHg

128/80

RR/min

20

SpO2%

98

FHRbpm

--

Schematic pulse line, drawn, not recorded

  1. 0 sStep 1

    Head delivered

    The head delivers with the next contraction and retracts tightly against the perineum; the chin is hard to see. Gentle axial traction does not deliver the anterior shoulder.

    First?