A 4,232-g 40-3/7-week-gestation male infant was delivered by a 38-year-old gravida 1, para 0 woman after 4 days of uterine contractions. Eighteen hours before delivery when the cervix was 5 cm dilated, 100% effaced, and the fetus was at –2 station, the obstetrician artificially ruptured the membranes and placed an intrauterine pressure catheter (IUPC). The plaintiff obstetrical expert pointed out that the IUPC was not calibrated and this was below the standard of care. A caput was discovered at this point. The plaintiff obstetrical expert pointed out that much pressure must have been exerted on the fetal head thus far to have produced a caput before the second stage of labor. The presence of the caput did not allow the obstetrical team, which consisted of a midwife, a remotely distant supervising obstetrician, and several shifts of bedside nurses, to accurately assess the station and position of the fetus. The midwife...

You do not currently have access to this content.