RT Book, Section A1 Cunningham, F. Gary A1 Leveno, Kenneth J. A1 Bloom, Steven L. A1 Dashe, Jodi S. A1 Hoffman, Barbara L. A1 Casey, Brian M. A1 Spong, Catherine Y. SR Print(0) ID 1160775997 T1 Vaginal Delivery T2 Williams Obstetrics, 25e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9781259644320 LK accessmedicine.mhmedical.com/content.aspx?aid=1160775997 RD 2024/04/20 AB As soon as the head appears at the vulva the physician should be ready to restrain its progress. He should hold his hand in such a manner as to be able to bring it immediately into action, for in many instances the resistance of the vulva is unexpectedly overcome, and a single pain may be sufficient to push the head suddenly through it with a resulting perineal tear.—J. Whitridge Williams (1903)