1 needle holder.
1 metal catheter.
8 gauze sponges.
1 medicine dropper.
1 cord clamp, or
2 cord tapes.
2 case numbers, attached.
12 needles, 4 round, 4 half-curved cervix needles, and 4 skin needles.
This is the stage of expulsion and the patient may want to pull or push on something to aid the straining effort. Unless the nurse needs time to set up the room or to get the doctor, this tendency may be encouraged.
A sterile sheet may be attached to the foot of the bed and the ends (corners) given into the patient’s hands as a knot or loop to pull on, or she may push upward against the head of the bed. Under no circumstances must she be permitted to touch or contaminate the clean linen in her movements, either consciously or unconsciously. The hands should be restrained, if necessary, to avoid this.