Bum or Feet First

• Call 911 immediately. You must attempt to get to the hospital.

• Lay the birthing person in bed. Do not pull on the body or feet of the baby.

• If the baby delivers spontaneously up to the shoulder, cover the baby with blankets as it delivers. The birther should push with each contraction. It is imperative that they push.

• Gently pull down a loop of cord to prevent tension on the naval.

• If the arms do not deliver spontaneously, reach up for the hands, one at a time, and sweep them down over the face.

• The body will turn to one side and the shoulders will deliver, the top shoulder followed by the bottom shoulder.

• The head is ready to deliver when the back is up (toward the ceiling). Put two fingers in the vagina below the head and press the vagina down to make room for the baby to breathe. Have the birthing person push until the face starts to deliver. They should pant and the back of the head can be delivered slowly.