How should a provider handle a newborn still in the amniotic sac?

When a newborn is still in the amniotic sac, the appropriate response is to gently tear the sac open. This action allows for the immediate release of the baby, ensuring that they can breathe air rather than being confined in the fluid-filled membrane. The goal is to facilitate a smooth transition for the newborn from a protected uterine environment to the outside world.

Tearing the sac gently ensures minimal trauma to the newborn and supports a swift delivery. This technique helps prevent complications that could arise if the baby were left in the sac for too long, such as aspiration of amniotic fluid.

Waiting for the sac to break on its own might delay the delivery process, which could lead to potential risks for the newborn. Pulling the sac away from the newborn could cause unnecessary stress or injury, and using scissors to cut the sac is generally not advised in this context, as it may pose risks like cutting the newborn or causing further complications. Therefore, gently tearing the sac open is the safest and most appropriate action to take.