Neglected shoulder presentation with hand prolapse: A rare and fatal obstetric complication managed in a rural hospital

  • U Shrestha School of Nursing and midwifery, Karnali Academy of Health Sciences
  • B Aryal Department of Obstetrics and Gynecology, Karnali Academy of Health Sciences


In the era of modern obstetric care, the neglected shoulder presentation is usually limited in developing countries which increase the risk of the morbidity and mortality of both mother and fetus. In the recent past, the reports about obstetric management of this serious complication were very few. In this case report, we aim to describe the neglected shoulder presentation at term pregnancy that caused fetal death and discuss management options for this rare obstetric complication during labor.

Keywords: shoulder presentation, hand prolapse, fetal death, internal podalic version, decapitation