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Intrauterine fetal death followed by shoulder dystocia and birth by modified posterior axillary sling method: a case report.


ABSTRACT:

Background

Various manoeuvres such as McRoberts position, suprapubic pressure, rotational methods, posterior arm extraction and all-four position (HELPERR) have been proposed for relieving shoulder dystocia with variable success. Posterior axillary sling method using a rubber catheter was proposed in 2009 but has not been widely used. We modified this method using ribbon gauzes and a long right-angle forceps and report a successful case.

Case presentation

A 44 years old parity one Chinese woman with a history of a caesarean delivery and poorly controlled type 2 diabetes mellitus was admitted to the Accident and Emergency Department for advanced stage of labour at term. Upon arrival, intrauterine fetal demise was diagnosed with severe asynclitism causing obstruction at the pe

SUBMITTER: Kwan AHW 

PROVIDER: S-EPMC8489078 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature

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