Signature Signature Signature Facilitates care and management of the second of labour/actively E CD/CI CI Date Date Date preparing the environment for birth Signature Signature Signature Infiltrates the perineum with local anaesthetic and *O CS/CD CS/CD/CI performs an episiotomy, Date Date Date justifying the intervention Signature Signature Signature Actively manages, and monitors maternal condition in the third stage of labour, E CD CI Date Date Date facilitating safe delivery of the placenta and membranes Signature Signature Signature Manages a physiological *O/E CS/CD CS/CD/CI third stage of labour Date Date Date Signature Signature Signature Promotes an environment that facilitates skin-to-skin E/CD CD CI Date Date Date contact Signature Signature Signature Demonstrates appropriate *O O/CS/E perineal suturing technique
Facilitates care and management of the second of labour/actively preparing the environment for birth E Signature CD/CI Signature CI Signature Date Date Date Infiltrates the perineum with local anaesthetic and performs an episiotomy, justifying the intervention *O Signature CS/CD Signature CS/CD/CI Signature Date Date Date Actively manages, and monitors maternal condition in the third stage of labour, facilitating safe delivery of the placenta and membranes E Signature CD Signature CI Signature Date Date Date Manages a physiological third stage of labour *O/E Signature CS/CD Signature CS/CD/CI Signature Date Date Date Promotes an environment that facilitates skin-to-skin contact E/CD Signature CD Signature CI Signature Date Date Date Demonstrates appropriate perineal suturing technique *O Signature O/CS/E Signature Signature