Changing Practice in Shoulder Dystocia: A Midwife’s Journey

Abstract

Shoulder dystocia is a life-threatening childbirth emergency that has been recognised by midwives and obstetricians for centuries. When Lesley Ansell experienced a severe shoulder dystocia that resulted in the fracture of the fetal humerus, she knew there needed to be a change in practice. Here, she charts the journey that led her to discuss, investigate and research the notion of axillary traction as a method of resolving shoulder dystocia.