Make a transverse incision through the skin.
Extend it through the fascia and muscle layers.
Open the peritoneum and push the bladder away from the uterus.
Carefully open the uterus.
Place your hand into the uterus to guide the baby out.
Suction the nose and mouth.
Remove the placenta as it is expelled.
Close the uterine incision.
Inspect the uterus tubes and ovaries.
Replace the uterus back inside the abdomen.
Close the abdominal fascia.
Staple the skin edges.
Cover with sterile dressings