What procedure should be followed if the umbilical cord is wrapped around the neck?

When an umbilical cord is wrapped around the neck, commonly known as a nuchal cord, the procedure involves gently lifting the cord until a pulse is felt. This approach is important because it allows for the continued supply of oxygenated blood and nutrients to the baby while addressing the immediate issue.

By elevating the cord calmly and carefully, it can often be maneuvered over the baby's head or away from the neck without causing distress or compromising the baby's oxygen supply. It is essential to ensure that the cord remains positional to avoid any tension that could restrict blood flow further.

Immediate cutting of the cord or leaving it alone without action can lead to complications. Cutting the cord too soon can sever the blood flow and oxygen supply to the baby, which is critical in the immediate moments following birth. Likewise, relying on the cord to "resolve itself" is risky, as it may not shift without intervention, potentially leading to birth asphyxia.

Calling for assistance and waiting is also not ideal in this circumstance because prompt intervention is necessary, and it could delay critical minutes during which the baby requires support. Therefore, gently lifting the cord to facilitate a smoother birth is the most appropriate response in this scenario.