C is 26 years old. She was born on 13 November 1992. On that day she suffered a brachial plexus injury which she alleges was the result of negligence on the part of the two midwives and/or the registrar who attended her birth. 
The entry in the agreed delivery notes signed by Dr Dobbs states:
“ SHOULDER DYSTOCIA – [head] delivered
episiotomy cut + ant. shoulder del.
[with] suprapubic pressure + traction”. 
No limitation defence was pleaded by D 
In summary, I conclude that C was delivered by Dr Dobbsfollowing a correct diagnosis of shoulder dystocia, using a combination of three techniques accepted at the time as appropriate, namely an episiotomy, suprapubic pressure and moderate traction. The reason why C suffered a brachial plexus injury was that the traction applied had a downward component. This was accepted practice at the time but is something which is now avoided precisely because of the risk it carries of causing brachial plexus injury. 
claim is dismissed.