highly significantP < 0.001
Overall there was a highly significant difference ( P < 0.001) in the success rates of the first used internal manoeuvres (Table 2 ).
Overall there was a highly significant difference ( P < 0.001) in the success rates of the first used internal manoeuvres (Table 2 ).
This is an increasing trend of 0.12% per year, comparable with the study of MacKenzie et al . 11 The average BMI in the study population was 30.87 which is categorised as obese 12 and there is evidence that maternal obesity and fetal macrosomia is associated with shoulder dystocia. 13 , 14 The results of this study show that axillary traction was a highly successful manoeuvre when used as the first internal manoeuvre (96.4%) and no further manoeuvres were required.