Critical items are marked — a miss on any critical item fails the station regardless of total score.
Excludes a second baby, then administers oxytocin 10 IU IM within one minute of birth Critical
Clamps and cuts the cord after the recommended delay, observing asepsis
Applies controlled cord traction only with suprapubic counter-traction, during a contraction Critical
Delivers placenta with slow, steady traction; inspects placenta and membranes for completeness
Massages the uterus until firm and confirms tone; monitors bleeding Critical
Communicates with the mother throughout and documents the procedure