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Delivery of the lower limbs

Delivery of the lower limbs
After spontaneous expulsion to the level of the umbilicus, external rotation of each thigh (A) combined with opposite rotation of the fetal pelvis results in flexion of the knee and delivery of each leg (B).
Reproduced with permission from: Gabbe SG, Niebyl JR, Simpson JL (Eds). Obstetrics: Normal and Problem Pregnancies, 4th ed, Churchill Livingstone New York 2003. Copyright © 2003 Elsevier.
Graphic 51966 Version 5.0