Inside Delivery Room (2nd Stage of Labor)

1. “I will assess for complete cervical dilation—confirming contractions every 2–3 minutes, lasting
60–75 seconds, with strong intensity and descent of the fetal head.”

2. “I will explain to the patient that she’s being transferred to the delivery table, ensuring her
privacy is maintained.” - verbatim: “Ms. Cruz, we’re ready to move you onto the delivery table
now. I’ll help you shift while keeping your gown and sheets in place to protect your privacy. Once
you’re settled, we’ll continue your care. Does that sound okay?”

3. “I will take her initial vital signs to establish her baseline status.”

4. “I will verify cleanliness and proper function of the delivery room light and all equipment.”

5. “I will check that room temperature is between 25–28 °C and eliminate any drafts to maintain
maternal comfort.”

6. “I will assemble needed equipment: gloves, dry linens/towels, drapes, bonnet, oxytocin injection,
3 mL syringes, Kelly clamp, Metzenbaum scissors, 2 kidney basins, gauze/abdominal pack, peri-
bottle for flushing, and newborn tray (including plastic cord clamp, ID band, suction catheter,
towels).”

7. “I will place the mother in lithotomy position.” Verbatim: Ms. Cruz, I’m placing you into the
birthing position now—back down, legs supported in stirrups. I’ll lift both legs together and keep
you covered. Let me know if you feel any discomfort.

8. “I will prepare a clear, clean newborn resuscitation area on a firm, flat surface under radiant
warmer or drop light.”

9. “I will instruct the mother to bear down during contractions and relax in between, encouraging
open-glottis pushing or breath-holding no longer than 6–8 seconds if needed.” Verbatim: Ms.
Cruz, when you feel the urge, bear down and push gently, keeping your throat relaxed and
exhaling slowly. If you need to hold your breath, try to keep it under 6–8 seconds. Between
pushes, take deep breaths to relax.

10. “I will drape clean, dry linens over her abdomen or arms to prepare for baby drying.”

11. “I will guide/assist the delivery of the baby’s head and body.”

(3rd Stage of Labor)

12. “I will announce the baby’s sex and time of birth: - verbatim: Baby boy/girl born at 11:45 a.m.’”

First 30 Seconds – Immediate Newborn Care

13. “I will wipe the baby’s face to remove excess secretions.”

1–3 Minutes – Initial Assessment & Bonding

15. “I will remove the wet cloth from the baby.”

16. “I will perform and interpret the APGAR score at 1 and 5 minutes.”

17. “I will place the baby in skin-to-skin contact on the mother’s chest or abdomen.”

18. “I will palpate the mother’s abdomen to rule out a second baby before giving oxytocin.”

19. “I will administer IM oxytocin within one minute of birth after wiping soiled gloves with a wet
cloth, then dispose of it properly.”

20. “I will ensure proper newborn identification per policy—ID band with mother’s full name,
date/time of birth, sex, and attendant’s name.”

21. “I will remove the first set of gloves once baby is positioned for cord clamping.”

22. “I will palpate the cord to check for ongoing pulsations.”

23. “Once pulsations stop, I will apply the first clamp 2 cm from the cord base.”

24. “I will apply a second clamp 5 cm distal to the first, then cut between them near the clamp.”

25. “I will wait for spontaneous placenta expulsion; if not, I will perform controlled cord traction
using Brandt-Andrews maneuver.”

26. “I will examine the placenta for completeness and abnormalities (Schultze or Duncan
presentation).”

27. “I will reassess the mother’s blood pressure.”

28. “I will massage the uterus until firm to minimize bleeding.”

29. “If episiotomy/lacerations are present, I will prepare for suturing and inspect the area carefully.”

30. “I will clean the perineum with warm flush and apply appropriate pad.”

31. “I will check the baby’s color and breathing, confirm mother’s comfort and that her uterus is
contracted.”

32. “I will dispose of the placenta in a leak-proof/biohazard container.”

33. “I will gather all instruments and sponges in preparation for cleaning.”

34. “I will advise mother to resume skin-to-skin contact with baby prone on her chest, head turned
to side.” Verbatim: “Ms. Cruz, I’m placing your baby on your chest now, skin-to-skin. I’ll ensure
your baby's head is turned to the side and their face is visible, so you can see each other clearly.
 This position helps with bonding and keeps your baby warm and calm. If you need any support
or adjustments, just let me know.”

35. “I will perform hand hygiene and document all pertinent findings and procedures.”

15–90 Minutes Postpartum – Early Care

36. “I will advise mother to watch for feeding cues—rooting, sucking hands, mouthing.”- verbatim:
“Ms. Cruz, watch for signs your baby is ready to feed, like sucking on hands, tonguing or turning
toward your chest.”

37. “I will support and instruct mother on proper positioning and latch for breastfeeding.”-verbatim:
Ms. Cruz, tutulungan ko po kayong makuha ang tamang posisyon at pagdede ng inyong sanggol.
Siguraduhin po natin na ang inyong baby ay nakaharap sa inyong dibdib, ang katawan ay
nakadikit, at ang bibig ay nakatutok sa utong. Kung may nararamdaman po kayong hindi
komportable, ipaalam lamang po agad.

38. “I will wait until full first breastfeeding session is completed.”

Inside Nursery Room

39. “I will assemble: infant radiant warmer or bassinet with drop light, suction machine with French
6–8 catheter, scale, tape measure, sterile gloves, digital thermometer, Vitamin K, ophthalmic
ointment, lukewarm water, soap and infant oil with cotton balls, 70% alcohol, newborn clothing
(mittens, booties, bonnet, singlet, sleepsuit), diaper, blanket.”

40. “I will perform full physical assessment of the newborn.”

41. “I will collect anthropometric data (weight, length, head/chest/abdominal circumference) using
standardized methods.”

42. “I will explain and offer optional delayed bathing for the baby, stating the rationale.” Verbatim:
Ms. Cruz, we recommend delaying your baby's first bath for at least 24 hours. This practice helps
maintain the protective vernix on your baby's skin, supports stable blood sugar levels, and
encourages early breastfeeding success. It also allows more time for bonding through skin-to-
skin contact.

43. “I will perform aseptic umbilical cord dressing: gloves on, disinfect with alcohol 70% in outward
circles, and check for two arteries/one vein.”

44. “I will dress the newborn appropriately after the cord care.”

45. “I will apply the Crede prophylaxis in each eye—placing ointment ribbon from inner to outer
canthus.”

46. “I will prepare and administer Vitamin K IM (1–2 mg) and schedule/inject Hep B and BCG
vaccines using proper technique.”
 47. “I will swaddle the baby per policy and advise on demand breastfeeding.”

48. “During the first hour postpartum, I will monitor baby’s breathing and color, and check mother’s
vitals and uterine massage every 15 minutes.”

49. “In the second hour, I will assess the mother-baby pair every 30–60 minutes.”

50. “I will perform hand hygiene and complete documentation of all procedures and assessments.”

TEPS IN STERILE GLOVING

PROCEDURE

1.

“I will remove the jewelry, particularly the rings and

watch to prevent tearing and contamination of the

gloves.”

2.

“I will wash my hands to prevent the transfer of

microorganisms.”

3.

“I will remove the outer wrapper carefully by

separating and peeling apart sides and lay it on a

clean, flat surface to prevent contamination.”

4.I will open the inner wrapper, securing it open and I

will touch the outside to prevent contamination on the

inner portion of the wrapper.”

5.

“I will identify the right and left glove then I will put on

the glove on my dominant hand.”

6.
“With my thumb and my first two fingers of my

non-dominant hand, grasp the inner fold of the cuff.

Lift the glove, holding away from the body. I will slip

my dominant hand touching only the inner surface of

the glove.”

7. “With my gloved dominant hand, slip four of my

fingers underneath the second glove cuff. I will lift the

glove away from the body. Slide the second hand

into the second glove, touching only the inner part of

the glove.”

8.

“I will adjust the fingers of both gloves using my

gloved hand.”

9.

“After putting on the second glove, I will interlock my

hands together above my waist level and will ensure

that I will touch only the sterile sides.”

10.

“I will grasp the outside of one cuff with my other

gloved hand and avoid touching my wrist.”

11.“I will pull the glove off, turning it inside out.””

12.

“I will take the fingers of my bare hand and tuck it

inside the remaining glove cuff. I will peel the glove

off inside out and over previously remove glove then

I will discard both of the gloves in receptacle”