Childbirth by the seat

The learner should be able to:

• Identify eligibility criteria for Childbirth by the seat
• Prepare a parturient for a Childbirth by the seat
• Inform the pediatric physician to manage the newborn during delivery
• Help parturient to push during uterine contraction while full dilation
• Perform VERMELIN method when clearance the seat
• Perform BRACHT Maneuver to clearance the Fetal head
• Perform a monitored delivery
• Perform a systematic uterine revision to check the integrity of the uterus and eventual existing malformations
• Resuscitate the newborn with a performing clinical examination to seek trauma
• Fulfill the obstetrical record and mention in the newborn’s health record (childbirth by the seat for careful clinical monitoring of the hips).

27-year-old woman, 1st gesture 2nd parity with 39 weeks of amenorrhea (Blood group O positive) without antecedent (pregnancy was not regularly followed).
She came to the maternity emergency ward at 7:00 a.m. for pelvic pain secondary to uterine contraction.