The procedure should be started within 4 minutes of a women's heart stopping.[2] A vertical cut is made from the top of the uterus to the level of the pubic bone.[2] Retractors are used to hold the area open and the bladder is pushed down.[2] A small vertical cut is than made through the lower part of the uterus and blunt tipped scissors are used to extend it up.[2] The baby is than removed, has its airway suctions, and the cord clamped.[2]