1. Notify MD of immediate birth
2. Room set-up, warmer on, equipment set up
3. As baby crowns- possible perineal prep, support perineum and fetal head prn
4. Notify baby RN, peds and nursery (need 2 people to care 1 for mom, 1 for baby)
5. Assist w/ positioning of mother
6. Look at family- fainting?
7. Note time of birth, CAN, nuchal, meconium, vd? breathing? APGAR?
8. Promote attachment
9. Emotional support