Caesarean delivery in the second stage of labour: Revisit the past

doi:10.1136/bmj.333.7571.753-b

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Dermot Ryan, general practitioner principal (DP.Ryan@gp-c82070.nhs.uk)

Woodbrook Medical Centre, Loughborough LE11 1NH

EDITOR—For me as a general practitioner to respond to the editorial by Spencer et al may seem surprising,1 but the effects of poorly managed labour spill over into primary care with general practitioners having to pick up the pieces of an exhausted woman having endured a 48 hour labour, a failed forceps delivery, and, finally, a …