1)     Engagement - Bi-parietal diameter (BPD) descends through the plane of the pelvic inlet.

2)     Descent

3)     Flexion - chin tuck to decrease the diameter passing through the pelvis

4)     Internal Rotation - rotates past the spines

5)     Extension - keep occiput in contact with the pubic arch

6)     External Rotation - will turn same way as internal rotation to line up shoulders in AP diameter

7)     Expulsion

4 Signs of Placental Separation

1)     gush of blood

2)     lengthing of cord

3)     uterus rises in the abdomen

4)     uterus becomes firm and globular

Remember, don’t tug on the cord when the uterus is relaxed.

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