27. Method of delivery

Cephalic – presenting part of the fetus listed as vertex, occiput anterior (OA), or occiput posterior (OP).

Breech– presenting part of the fetus listed as breech, complete breech, frank breech, or footling breech.

Other – any other presentation not listed above.

Check one of the three boxes.

Check only the final presentation at birth.

Cephalic:

• Vertex–OA, OP, LOA, ROA,
  LOP, ROP, LOT, ROT
• Face—LMA, LMT, LMP , RMA,
  RMP, RMT
• Brow
• Sinciput
• Mentum—chin

Breech: (Buttocks, sacrum)

• Frank breech–LSA, LST, LSP,
  RSP, RST
• Single footling breech
• Double footling breech
• Complete breech

Other:

• Shoulder
• Transverse lie
• Funis
• Compound (i.e., vertex with hand)

Vaginal/ spontaneous
Delivery of the entire fetus through the vagina by the natural force of labor with or without manual assistance from the delivery attendant.

Vaginal/ forceps
Delivery of the fetal head through the vagina by the application of obstetrical forceps to the fetal head.

Vaginal/ vacuum
Delivery of the fetal head through the vagina by the application of a vacuum cup or ventouse to the fetal head.

Cesarean
Extraction of the fetus, placenta, and membranes through an incision in the maternal abdominal and uterine walls.

Check one of the boxes.

1st  Delivery record under – Method of delivery

2nd  Newborn admission H&P

3rd  Recovery room record under – Maternal data – Delivered

• VAG Del – Vaginal delivery
• SVD – Spontaneous vaginal delivery

 Vaginal/forceps:

• LFD – Low forceps delivery

 Vaginal/vacuum:

• Vac Ext
• vacuum

Cesarean:

• C/S – Cesarean section
• LSTCS – Low segment transverse
• Look for:
  • TOL – Trial of labor

Check “yes” or “no.”