Neonatal complications include hypoxia, anoxia (i.e., perinatal asphyxia), umbilical cord prolapse, fractures (e.g., cranial, femoral, and clavicular), cerebral hemorrhage, cephalohematomas, lacerations, brachial nerve palsy, cerebral palsy, spinal cord injuries from head hyperextension, arrest of the after-coming head, and death1,2,7,8,10,20–25 Recent studies suggest that the occurrence of these complications may be greatly influenced by the urgency of the delivery rather than solely the method of delivery.2 Thus, an adequately prepared Emergency Physician may not be able to prevent these complications but will less likely contribute to them.