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A caul is a piece of membrane that can cover a newborn's head and face.[1] Birth with a caul is rare, occurring in less than 1 in 80,000 births.[2] The caul is harmless and is immediately removed by the attending parent, physician, or midwife upon birth of the child.[citation needed]
An en-caul birth is different from a caul birth in that the infant is born inside the entire amniotic sac (instead of just a portion of it). The sac balloons out at birth, with the amniotic fluid and child remaining inside the unbroken or partially broken membrane.[citation needed]
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