Relevant Hand Actions During Labor and Delivery Included in the HANDS at Birth Tool for Observation of Birth Attendants

Measuring vital signs
Wiping the vagina
Vaginal examination
Artificial rupture of membranes
Catching the baby (delivery)
Cord cutting and clamping
Cord traction
Postdelivery examination of the vagina
Wiping the baby clean after birth
Supporting breastfeeding
Manual removal of placenta
Suctioning baby’s nose/mouth
Using bag and mask on the baby
Catheter insertion or removal
Insertion or removal of IV lines
Adjusting IV fluids or changing IV bag
  • Abbreviation: IV, intravenous.