ArticleCase reports in perinatal medicine2026
Neonatal humeral fracture and scalp laceration following difficult cesarean delivery for transverse lie: a case report.
Article in Case reports in perinatal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: Transverse lie in advanced labor presents significant obstetric challenges and may complicate fetal extraction during cesarean delivery. Although cesarean delivery is generally considered protective against birth trauma, neonatal injuries may still occur during technically difficult extractions. Case presentation: A 41-year-old gravida 6 para 5 woman with gestational diabetes mellitus, polyhydramnios, and an unstable transverse lie underwent external cephalic version at 37+3 weeks' gestation. Although cephalic presentation was initially achieved, the fetus reverted to a transverse lie within 3 h. With cervical dilatation of 8 cm and no presenting part, emergency cesarean delivery was performed under general anaesthesia. A poorly formed lower uterine segment intraoperatively necessitated the use of an inverted T uterine incision, and the neonate sustained a 2 cm scalp laceration and a minimally displaced right humeral shaft fracture. The scalp laceration was repaired immediately, while the humeral fracture was diagnosed on postnatal day 3 following the development of upper limb weakness and an absent Moro reflex. Both injuries were managed successfully with favourable outcomes. Conclusions: This case highlights the challenges of cesarean delivery for transverse lie in advanced labor and demonstrates that neonatal trauma may occur despite operative delivery. Careful surgical planning, experienced obstetric involvement, and thorough neonatal assessment following difficult extraction are essential.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.