What is a critical action to take when delivering a baby with a nuchal cord?

The recommended critical action when delivering a baby with a nuchal cord, which is when the umbilical cord wraps around the baby's neck, is to gently slip the cord over the baby's head if possible. This approach is typically preferred because it aims to minimize trauma to both the baby and the umbilical cord. By carefully maneuvering the cord, it is possible to avoid cutting it unless absolutely necessary, which preserves the connection between the baby and the placenta for as long as possible.

When addressing this situation, maintaining a calm and careful technique is essential. If the cord is not tightly wrapped or if there is sufficient slack, gently sliding it over the baby's head can usually be accomplished without complications. This action helps in reducing risks that could arise from more abrupt interventions, such as cutting the cord prematurely or applying excessive traction.

The emphasis on the gentle nature of this action is critical, as applying strong traction can risk tearing the cord or causing harm to the baby. Immediate cutting is generally not favored unless there are complications that necessitate a quick delivery, and keeping the baby warm while delaying further actions is not appropriate at the moment of birth where immediate intervention may be required.