What should you do if you notice the umbilical cord is loosely wrapped around the neck during delivery?

When you notice that the umbilical cord is loosely wrapped around the neck during delivery, the appropriate action is to attempt to slide the cord over the head. This approach is usually safe and allows for a more natural delivery process. By doing so, you minimize potential complications that could arise from having the cord tightly constricting the baby's neck.

If the cord is loose, it is often possible to gently maneuver it without causing any harm to the baby or mother. This intervention can help prevent further complications such as cord compression that may lead to issues with the baby's heart rate.

In contrast, other options can pose risks. Clamping and cutting the cord prematurely can deprive the baby of vital oxygen and nutrients, especially if the delivery is ongoing. Waiting for the delivery without addressing the cord can lead to distress for the baby if the cord is tightly wrapped. Pulling on the cord can cause damage or stress to the cord itself or to the placenta, leading to potentially serious issues for both the mother and the infant. Thus, attempting to slide the cord over the head is typically the safest choice in this scenario.