Which of the following not included under the 7 clean practices during delivery under the CSSM program?
## **Core Concept**
The CSSM (Child Survival and Safe Motherhood) program emphasizes various practices to ensure safe delivery and reduce maternal and neonatal mortality. The 7 clean practices during delivery are crucial components of this program, focusing on hygiene and asepsis to prevent infections.
## **Why the Correct Answer is Right**
The 7 clean practices typically include:
1. **Clean hands**: Ensuring that the birth attendant's hands are clean before assisting delivery.
2. **Clean surface**: Delivering on a clean surface.
3. **Clean cord**: Using a clean thread or instrument to cut the cord.
4. **Clean cord tie**: Tying the cord with a clean thread.
5. **No routine episiotomy**: Avoiding routine episiotomy.
6. **Clean blade for cord cutting**: Using a clean blade to cut the cord.
7. **Early cord clamping is not specifically listed but clean cord care is emphasized.**
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option might include one of the clean practices.
- **Option B:** Similarly, this could be another practice under the 7 clean practices.
- **Option D:** This might also represent one of the recognized clean practices.
## **Clinical Pearl / High-Yield Fact**
A key aspect of the CSSM program and safe delivery practices is the emphasis on cleanliness and asepsis to prevent postpartum infections. Remembering the specific clean practices can help in clinical settings to ensure maternal and neonatal safety.
## **Correct Answer:** D. No application of fundal pressure.