If the umbilical cord is wrapped around the infant's neck during delivery, what should be the first step in managing this situation?

When the umbilical cord is wrapped around the infant's neck during delivery, the most immediate and appropriate action is to try to slip the cord over the baby's shoulders or head. This step is crucial because it addresses the situation directly and helps to ensure that the infant can breathe properly immediately after delivery. As the cord is wrapped around the neck, it can constrict blood flow and oxygen supply to the baby, which makes prompt management essential.

If the cord can be easily slipped over the baby’s shoulders or head during delivery, it allows for a smoother and safer delivery process, minimizing potential complications. This method is generally favored when there is some slack in the cord, as it can be done without causing distress to either the mother or the infant.

In contrast, delivering as normal and then immediately clamping and cutting the cord can lead to unnecessary risks. Not only does this delay the resolution of the immediate problem, but it also may deprive the infant of critical oxygen and nutrients just before birth. Clamping and cutting the cord are avoided as initial responses here because any restriction from the cord around the neck should be managed directly before any further procedures are undertaken.

Similarly, attempting the other options of clamping the cord in two places and cutting between the clamps