Continue CPR throughout procedure as long as it can be safely accomplished
Widely cleanse abdomen
Use scalpel to make a midline incision from the uterine fundus to pubic symphysis
Dissect into peritoneal cavity using scalpel or scissors
Make a 2 cm incision into the uterine cavity using scalpel
Insert two fingers into the uterine incision between baby's body and myometrium, and use scissors to advance the incised opening
If anterior placenta is encountered, sharply incise through it
Manually deliver infant from uterus, avoiding grasping the infant around the abdomen
Cut and clamp the umbilical cord and pass infant to neonatal team
Deliver the placenta by gentle traction
Pack uterus with sterile gauze
Close abdominal incision using skin stapler
Continue maternal resuscitation
If anterior placenta is encountered, sharply incise through it
Cut and clamp the umbilical cord and pass infant to neonatal team
Resuscitative hysterotomy
Episiotomy
Emergent delivery
Emergency contraception
IVF maintenance
Betamethasone
Misoprostol
Dexamethasone