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.