Intrauterine fetal resuscitation (IUFR)

1. Stop Syntocinon drip
2. Left lateral position
2. Increase intravenous fluid rate on full flow
3. Use Terbutaline 250mcg subcut.
4. Examine and rule out occult cord prolapse or presentation
5. Ask patient to stop pushing

Intrauterine foetal resuscitation measures

Maternal position	Left lateral position, Right lateral, or knee elbow position (in case of cord compression)
Tocolysis	Turn off syntocinon drip
	Terbutaline 250 micrograms S/C or I.V, or GNT spray sublingually — two puffs, can be repeated thrice
Oxygen administration	10 to 15 litres / minute by tightly fitting and non-rebreathing Hudson’s face mask
Rapid intravenous fluids	One litre of crystalloid, Hartmen’s solution or normal saline rapidly
Vasopressors	Ephedrine, consider during maternal hypotension (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2991648/)