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contentuptodate· Content· item f41_49_42770

©2013 UpToDate ® Print Email Delivery of the upper limbs A towel is wrapped around the fetus for better traction. When the scapulae appears under the symphysis, the operator reaches over the left shoulder, sweeps the arm across the chest (A), and delivers the arm (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.