title: Posterior axilla sling traction: a technique for intractable shoulder dystocia.
abstract: BACKGROUND
  We describe a new method for delivery of intractable shoulder dystocia with posterior axilla sling traction.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Posterior axilla sling traction may overcome intractable shoulder dystocia and avoid more traumatic procedures in fetal death.
authors.affiliation: From the Department of Obstetrics and Gynecology, Tygerberg Hospital, Cape Town, South Africa; and Effective Care Research Unit, University of the Witwatersrand/Fort Hare and Department of Obstetrics and Gynecology, East London Hospital complex, East London, South Africa.
authors.forename: C A
authors.initials: CA
authors.lastname: Cluver
authors.forename: G J
authors.initials: GJ
authors.lastname: Hofmeyr
mesh_terms: D004420:Dystocia / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D011247:Pregnancy; D012782:Shoulder; D050497:Stillbirth; D014143:Traction / Q000379:methods*; D014710:Version, Fetal / Q000379:methods*