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2. While first inserting the plastic bag through the birth canal opening on the mannequin, gently position the birth canal insert with the approximate final alignment to the opening. 6. 3. Push the birth canal insert into position. Place your hands on the lower half of the insert with your fingers holding the bag in place. Steady the front of the insert with your thumbs. Without removing the plastic, orient the birth canal insert so that it is properly aligned with the opening on the lower torso of the mannequin. 4. Gently begin to remove the polythene bag with one hand while holding the insert in place with the other, as pictured below. It is easier to start at the top, then work down the sides towards the bottom. 5. Place one hand towards the bottom of the birth canal insert when pulling out the bottom portion of the polythene bag. 194 | User Guide | | NOELLE S554.100 With the birth canal insert in place, pull the post-partum hemorrhage tube through the hole in the bottom of the birth canal insert as shown in the picture. This is to position the hemorrhage tube in the correct location. The birth canal insert is now ready for normal use.