If you are referring to Ina May Gaskin, I don't know if I would call her an old midwife.
Most cases of CPD are caused by the management of labor. If your water is artifically broken, it can cause the head to be wedged funny. If the mother is flat on her back, the pelvis can't do its thing. If the mother has an epidural....you get the picture.
I am surprised that you would have seen that many shoulder dystocia's since they are very rare and the hospital that you work in seems so progressive the way that you discribe it.
IMO, birth IS faith. Look where the science of birth has gotten us.
Victorian

Most cases of CPD are caused by the management of labor. If your water is artifically broken, it can cause the head to be wedged funny. If the mother is flat on her back, the pelvis can't do its thing. If the mother has an epidural....you get the picture.
I am surprised that you would have seen that many shoulder dystocia's since they are very rare and the hospital that you work in seems so progressive the way that you discribe it.
IMO, birth IS faith. Look where the science of birth has gotten us.
Victorian