The head delivers.
Then it stops.
The shoulders do not follow.
The room changes instantly.
Someone announces shoulder dystocia.
The legs are flexed.
Suprapubic pressure is applied.
Additional maneuvers follow.
Seconds become very long.
Eventually the baby is delivered.
Then one arm does not move normally.
A brachial plexus injury is diagnosed.
Months later, a question appears:
Who pulled too hard?
Sometimes that is the wrong question.
