Case Report: Neglected shoulder presentation in a full-term pregnancy: A rare obstetric emergency with heavy morbidity

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Abstract: Fetal transverse lie with neglected shoulder presentation is a rare but extremely risky complication in labor. It could severely compromise maternal and fetal outcome. Herein, we report the case of a 32-year-old multiparous patient, consulting in labor with a fetal hand prolapsed through the vaginal opening and a transverse presentation that was not known previously. An emergency cesarean section was performed. It allowed the extraction of a living, healthy newborn without further complications. This case report emphasizes the importance of prenatal follow-up, in particular, the screening of abnormal fetal positioning in term pregnancy. It also highlights that a prompt and swift transfer to a well-equipped medical facility is imperative for optimal maternal and fetal management and to ensure a positive outcome.

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