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Shoulder dystocia in primary midwifery care in the Netherlands

Editor's comment: Prof. Jim Thornton Good results from shoulder dystocia treated in primary midwifery care
Shoulder dystocia is one of the most feared obstetric emergencies, and fear of inadequate treatment is one reason why many women prefer to delivery in hospital. This series of 66 cases occurring under primary midwifery care, 45 at home and 19 in a birthing centre, reports good results. Two infants (3.1%) sustained a transient brachial plexus injury, but there were no long term infant sequelae.

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Commentaries by Editor Prof. Jim Thornton