Which is NOT a recommended step in the management of a patient during delivery?

Performing an episiotomy immediately is not a recommended step in the management of a patient during delivery. The practice of routine episiotomy, which is a surgical incision made in the perineum to facilitate delivery, has fallen out of favor in many settings unless there are specific medical indications. Current guidelines emphasize allowing the perineum to stretch naturally during delivery to reduce the risk of complications such as increased healing time and perineal tearing.

In contrast, keeping both the patient and newborn warm is crucial to prevent hypothermia and ensure stability, especially immediately after delivery. Recording the time of delivery is important for medical documentation and monitoring progress during labor, as it can impact decisions about the management of labor and delivery. Reassessing the patient every few minutes ensures that both the mother and newborn are stable and allows for timely interventions if complications arise.