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  • Title: Posterior axilla sling traction: a technique for intractable shoulder dystocia.
    Author: Cluver CA, Hofmeyr GJ.
    Journal: Obstet Gynecol; 2009 Feb; 113(2 Pt 2):486-488. PubMed ID: 19155929.
    Abstract:
    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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