Paravaginal delivery is extremely rare. Perineal delivery was reported in j
ust fewer than 100 cases, most of which occurred in the 19th and early 20th
century. To our knowledge this is the first case of labial delivery to be
reported. The baby delivered through a lateral vaginal tear and through the
labia. majora with little trauma to the underlying tissues. Explanations o
f how this could have happened and how to prevent it are discussed. (C) 200
1 Published by Elsevier Science Ireland Ltd.