For first-time mothers, when contractions are about
three to five minutes apart and last forty to ninety
seconds—and increase in strength and frequency—for
at least an hour, the labor is most likely real and not
false (though it can be). Babies basically deliver themselves,
and they will not come out of the womb until
they are ready. Have clean, dry towels, a clean shirt,
or something similar on hand.
As the baby moves out of the womb, its head—
the biggest part of its body—will open the cervix so
the rest of it can pass through.
(If feet are coming out first, see next page.) As the
baby moves through the birth canal and out of the
mother's body, guide it out by supporting the head
and then the body.
When the baby is out of the mother, dry it off and
keep it warm.
Do not slap its behind to make it cry; the baby will
breathe on its own. If necessary, clear any fluid out of
the baby's mouth with your fingers.
Tie off the umbilical cord.
Take a piece of string—a shoelace works well—and
tie off the cord several inches from the baby.
It is not necessary to cut the umbilical cord, unless
you are hours away from the hospital.
In that event, you can safely cut the cord by tying it
in another place a few inches closer to the mother and
cutting it between the knots. Leave the cord alone
until you get to a hospital. The piece of the cord
attached to the baby will fall off by itself. The placenta
will follow the baby in as few as three or as
many as thirty minutes.
Taken from The Worst-Case Scenario Survival Handbook









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