Remove pants and undergarments, place pillow under mother's buttocks or position buttocks near edge of bed to allow room for delivery. Explain delivery process to mother and assure her of your competence and readiness. Coach mother to bear down during contraction. Place other hand over vagina to exert gentle downward pressure on head to avoid explosive delivery. After head delivers, it will spontaneously turn to one side.
Purpose is to clear airway prior to first breath.
Do mouth first since doing nares stimulates respiration. Do not suction nares if meconium present. If present, gently unwrap it before fetus delivers further. If cannot unwrap, clamp and cut cord at this time. Assist delivery of anterior shoulder by gentle downward traction on head, then posterior shoulder by elevating the head.