I feel that insufficient data is given to justify the conclusion.
A busy antenatal clinic with different grades of staff is probably
not the best place to assess sensitivity and specificity of clinical
examination with regard to foetal presentation.
May I suggest a community clinic with experienced midwives who know their
patients may have given a different result. This research seems to imply
that all women need u/s.
This data should not be applied routinely in the uk as only women with
some abnormalities routinely attend hospital antenatal clinics.
It does however raise training issues in clinical examination for
australian obstetric staff.
Competing interests: No competing interests