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The fetus emerges spontaneously (A), while uterine contractions maintain cephalic flexion

The fetus emerges spontaneously (A), while uterine contractions maintain cephalic flexion
Premature aggressive traction (B) encourages deflexion of the fetal vertex and increases the risk of head entrapment or nuchal arm entrapment.
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 70941 Version 4.0