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This is not a straightforward task, since ethical considerations and infrequency of actual shoulder dystocia deliveries limit prospective, comparative study of various manoeuvres.
The patterns of those acts (patriotic, ethical, altruistic), perhaps supported during their formation by a scaffold of extrinsic reinforcement, must be highly valuable in themselves.
There is considerable awareness that these developments pose challenges in every dimension (ethical, political, economic, and clinical) of the health-care environment.
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