Document Detail

Posterior axilla sling traction: a technique for intractable shoulder dystocia.
MedLine Citation:
PMID:  19155929     Owner:  NLM     Status:  MEDLINE    
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.
C A Cluver; G J Hofmeyr
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  113     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-21     Completed Date:  2009-02-23     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  486-8     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Tygerberg Hospital, Cape Town, South Africa.
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MeSH Terms
Dystocia / etiology,  therapy*
Traction / methods*
Version, Fetal / methods*

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