Journal
OBSTETRICS AND GYNECOLOGY
Volume 113, Issue 2, Pages 486-488Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/AOG.0b013e318190a2d6
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BACKGROUND: We describe a new method for delivery of intractable shoulder dystocia with posterior axilla sling traction. CASES: Two cases of shoulder dystocia after intrauterine death are described where routine methods of delivery were unsuccessful. In each case, a soft plastic suction catheter was folded in half over the operator's fingertip and digitally inserted around the posterior shoulder, under the axilla, and retrieved with the other hand to create a sling to which traction was applied. The posterior shoulder, followed by the anterior shoulder, was easily delivered. CONCLUSION: Posterior axilla sling traction may overcome intractable shoulder dystocia and avoid more traumatic procedures in fetal death.
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