PMC4540979_01
Neglected shoulder presentation at term pregnancy with intrauterine fetal demise. Cyanosed and prolapsed right fetal arm was seen outside of the vagina.
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On physical investigation, the prolapsed right arm (cyanosed) was seen outside of the vagina without cord pulsation, cervical dilatation was 7 cm, and finally the neglected shoulder presentation was observed (Figure 1).