External pressure, i.e. when healthcare personnel lie over the birthing person's stomach with the aim of pushing the baby out during a birth, is not recommended.
That's what it says in the vast majority of regions' guidelines for good maternity care.
The procedure entails a risk of significant damage to both the mother and the child.
In some cases, it is a measure to get the child out in time if there are health risks.
But in Olivia's case, it was a completely normal delivery.
Yelled: "Remove the arm"
Olivia had also explicitly said no to that type of method in both the care plan and birth certificate, but it still happened, something TV4 was the first to report.
Her midwife lay over her stomach and forced the baby out with the help of her elbow.
- I shouted to remove the arm but she continued.
Not entered in the journal
The case has been criticized by Ivo, the Inspectorate for Care and Care, because the midwife did not keep records properly and because Olivia received insufficient support.
Löf, the regions' joint and nationwide insurance company for patients, has also criticized Region Skåne.
But nowhere has patient legislation been tested.
According to it, healthcare professionals have an obligation to inform about the risks of various measures and to obtain consent from the patient.
Something that was never done in Olivia's case.
- This will be the first similar case tried in court.
Patient legislation needs a review and patients' right to consent must be highlighted.
Today it is far too difficult to demand responsibility, says Helena Myrin, who is a lawyer at the Center for Justice.
Responsible manager: The matter must be dealt with
Pia Teleman, operations manager for women's health care at Skåne University Hospital, declines an interview but leaves a written comment to SVT:
"This matter must now be allowed to run its course and I have no comment on the lawsuit.
The principle of informed consent in healthcare is important.
We do our utmost to accommodate that.
In emergency situations that require quick decisions for the patient's safety, this is a greater challenge than with planned care," she writes.
In the clip, you get to meet Olivia and hear how she has been affected and about the damage her child suffered as a result.