CSSC, Seremban

Name: ______________________________________ ID: ________________________

Batch: ____________

DIRECT OBSERVATION PROCEDURAL SKILLS (DOPS)

Skill: Normal Vaginal Delivery

Objectives:
1. Mechanism of normal labour.
2. Assessment of labour progress.
3. Steps involved in the management of second and third stage of labour.

Checklist
No Expected action (steps) Date (1) Date (2) Date (3)

1. Preparation Put on disposable apron/face mask/goggles.

Perform initial hand washing.
Open first layer of the set.
Perform effective hand washing and don sterile
gloves.
Clean the vulva.
Perform a vaginal examination and determine
- dilatation of os
- presentation
- position
- station
Assemble items in delivery set and count the
number of instruments/pads/tampons available.
Drape the mother.
2. Delivery of Left palm/non dominant hand is placed over fetal
baby when head to promote flexion.
3-4 cm of the Right hand/dominant hand is placed to support
fetal head is the perineum using a pad.
visualized at Deliver the fetal head.
the Check for fetal cord.
perineum Wait for restitution of the fetal head (causes
(crowning) internal rotation of the shoulder to lie in anterior-
posterior position).
Deliver the anterior shoulder by gentle
downward pressure on the head.
Slightly lift the head to deliver the posterior
shoulder.
Deliver the baby towards the mother.
Determine the time of birth and Apgar score.
Double clamp and cut the cord. Show gender of
baby to the mother.
CSSC, Seremban
Ask the assistant to administer IM syntometrine
to the mother.
Wait for signs of placental separation.
Hold the umbilical cord taut while placing the
other hand on the abdomen and pushing upward
on the firm uterus away from the placenta,
delivering the placenta by cord control traction
(CCT).
Examine uterine size for contractility.
Assess amount of blood loss.
Inspect the cervix, vagina, labia and perineum
for lacerations.
Examine placenta for completeness
- cord
- membrane
- cotyledon
- abnormalities
3. Post delivery Recount the instruments and pad/tampon used.
Clean up the mother, keep her dry and
comfortable.
Documentation.
Observe mother closely for 1 hour for
complications.
Prepare mother for suturing if episiotomy was
performed earlier.
4. Communication skills
5. Professionalism
6. Overall
Assessed by: Pass / Fail Pass / Fail Pass / Fail

Key: (√) Competent

(X) Incompetent
(*) Pass - must be competent in all sections

Comments: