If you find a fluid-filled membrane around the baby's head during delivery, what is the correct action?

When a fluid-filled membrane, known as the amniotic sac or bag of waters, is encountered around the baby's head during delivery, the correct action is to tear it open and push it away from the infant's face. This procedure is essential because the amniotic sac is meant to protect the fetus during pregnancy, but during delivery, it can pose a risk of asphyxiation if it obstructs the baby's airway.

By tearing the membrane, you facilitate a clear path for the baby's head to emerge, ensuring that the baby's breathing is not compromised. Pushing the membrane away from the face helps to ensure that the baby can breathe freely as soon as they are delivered. It is crucial in emergency situations to only perform actions that directly support the safety and health of the newborn, which this choice effectively accomplishes.

Leaving the membrane intact could lead to complications if it obstructs the baby’s breathing. Removing the entire membrane is not necessary and could cause undue stress or injury to the baby. Wrapping it with a cloth does not address the immediate need to ensure clear airways for the newborn. Therefore, the action of tearing the membrane and adjusting it is both practical and life-saving in ensuring a safe delivery.