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SummaryThe clinical value of the 12-hour daily fetal movement count (DFMC)

A c c e p t e d m a n u s c r i p t remote sensing and will make measurements on spatial scales of less than 10 km for 57 major elements during solar flares, sufficient to isolate surface landforms, such as craters 58 and their internal structures. The spatial resolution achieved by MIXS-T is made possible 59 by novel, low mass microchannel plate X-ray optics, in a Wolter type I optical geometry. 60 61 MIXS measurements of surface elemental composition will help determine rock types, 62 the evolution of the surface and ultimately a probable formation process for the planet. In 63 this paper we present MIXS and its predicted performance at Mercury as well as 64 discussing the role that MIXS measurements will play in answering the major questions 65 about Mercury. 66 67

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Objective To use information collected by the Confidential Enquiry into Stillbirths and Deaths inInfancy to help obstetric, midwifery and paediatric practice in the management of shoulder dystocia. Main outcome measures Case notes were reviewed with respect to a range of perinatal variables.Comparisons were made with normative data from other studies when appropriate.Results Maternal obesity and big babies were over-represented in pregnancies complicated by fatal shoulder dystocia. Fetal compromise was recorded in 26% of labours. The median time interval between delivery of the head and the rest of the body was only five minutes. The lead professional at the time the head was delivered was a midwife in 65% of cases. Middle grade or senior obstetric staff were supervising 47Yi of cases by the time the body was delivered.Conclusions Antenatal prediction of shoulder dystocia is imprecise, and the majority of deliveries are attended by midwives. A relatively brief delay in delivery of the shoulders may be associated with a fatal outcome.