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contentuptodate· Content· item f20_53_21331

©2013 UpToDate ® Print Email Delivery of the head Often, delivery of the head is easily accomplished with continued expulsive forces from above, suprapubic pressure, and gentle traction. Cephalic flexion is maintained by pressure (heavy arrow) on the fetal maxilla (not mandible!) 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.