If the umbilical cord is wrapped around the baby's neck during delivery, what is the appropriate action to take?

When the umbilical cord is wrapped around the baby's neck during delivery, slipping the cord over the baby’s shoulders is often the most appropriate and safest action to take. This approach allows for the continued progress of delivery, avoiding unnecessary risks associated with cutting the cord prematurely or twisting it too aggressively.

Gently maneuvering the cord over the shoulders typically alleviates any pressure on the neck while maintaining a clear path for the baby's exit. It also ensures that the baby remains connected to the cord for as long as possible, allowing for the continued transfer of oxygen and nutrients until the baby is fully delivered.

Cutting the cord immediately may not be advisable unless absolutely necessary, as it can deprive the baby of vital blood flow and oxygen for a brief moment during a critical point in delivery. Trying to untwist the cord can potentially lead to further complications if not done carefully and may cause undue stress or injury. Leaving the cord wrapped around the neck without taking action can pose a risk of strangulation or restricted airflow, which is why an active response is required.