During delivery, the amniotic sac is still intact around the baby's head. What is the appropriate action?

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Multiple Choice

During delivery, the amniotic sac is still intact around the baby's head. What is the appropriate action?

When the head crowns with the amniotic sac still intact, you need to rupture the sac to let the baby begin breathing. Tear the sac gently at the edge closest to the baby's face with a fingertip, creating a small opening rather than ripping it forcefully. This controlled tear allows air to reach the lungs and reduces resistance without causing trauma. Waiting for automatic rupture or attempting to deliver with the sac still intact can delay breathing and complicate delivery, and breaking the sac too aggressively isn’t necessary. After opening the sac, proceed with routine newborn care (airway management as needed and continuing delivery).

When the head crowns with the amniotic sac still intact, you need to rupture the sac to let the baby begin breathing. Tear the sac gently at the edge closest to the baby's face with a fingertip, creating a small opening rather than ripping it forcefully. This controlled tear allows air to reach the lungs and reduces resistance without causing trauma. Waiting for automatic rupture or attempting to deliver with the sac still intact can delay breathing and complicate delivery, and breaking the sac too aggressively isn’t necessary. After opening the sac, proceed with routine newborn care (airway management as needed and continuing delivery).

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