Evidence map›Paper›PMID 33430794›Full record

ArticleBMC pregnancy and childbirth2021

Circumferential shoulder laceration after posterior axilla sling traction: a case report of severe shoulder dystocia.

Allison R McCarter, Regan N Theiler, Enid Y Rivera-Chiauzzi

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Achieving Equitable Access to Obstetric Devices Through Innovation, Improvisation and Off-Label Use.BJOG : an international journal of obstetrics and gynaecology · 2025
    Review
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Allison R McCarterDepartment of Obstetrics and Gynecology, Mayo Clinic, 200 First St SW, 55905, Rochester, MN, USA.
Regan N TheilerDepartment of Obstetrics and Gynecology, Mayo Clinic, 200 First St SW, 55905, Rochester, MN, USA.
Enid Y Rivera-ChiauzziDepartment of Obstetrics and Gynecology, Mayo Clinic, 200 First St SW, 55905, Rochester, MN, USA. rivera-chiauzzi.enid@mayo.edu.
Mayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShoulder dystocia is an unpredictable and potentially catastrophic complication of vertex vaginal delivery. Posterior axilla sling traction (PAST) has recently been proposed as a method to resolve severe shoulder dystocia when commonly used techniques have failed. CASE PRESENTATION: A 33-year-old woman (gravida 5, para 0) at 35 weeks, 1 day gestation underwent induction of labor for poorly controlled type 2 diabetes mellitus. Delivery of the large-for-gestational-age infant (4,060 g) was complicated by intractable shoulder dystocia, relieved at 3 minutes with PAST, resulting in a deep, circumferential laceration of the fetal posterior shoulder and contralateral phrenic nerve palsy.

conclusionsPAST provides a potentially lifesaving option during intractable shoulder dystocia. Simulation or education about the technique facilitates its use when standard maneuvers fail. It is important to disseminate information about potential complications associated with these novel maneuvers.

Indexed as

Delivery, ObstetricFetal MacrosomiaPrenatal CareAdultDiabetes Mellitus, Type 2Diagnosis, DifferentialFemaleHumansInfant, NewbornLacerationsPregnancyPregnancy in DiabeticsShoulder DystociaShoulder InjuriesTractionCase reportComplicationPASTPAST techniquePosterior axillary sling tractionShoulder dystocia

Identifiers

PMID33430794
PMCPMC7802353
OpenAlexW3120740855

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.