Buttocks First

• If baby has delivered to level of umbilicus, gently extract baby's legs.
• Gently extract enough cord to relieve tension on cord during delivery.

Both Feet First

• Support baby's legs and buttocks, and gently pull during contractions until shoulders are delivered.
• Avoid pulling on baby once shoulders have delivered.
• Place gloved fingers between baby's face and vaginal wall to create an airway for baby until head delivers.
• Prepare for emergency c-section.