{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T15:04:26Z","timestamp":1790262266173,"version":"4.1.0"},"reference-count":11,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_crpm-2026-0018_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_crpm-2026-0018_abs_002\">\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>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\u00a0weeks\u2019 gestation. Although cephalic presentation was initially achieved, the fetus reverted to a transverse lie within 3\u202fh. With cervical dilatation of 8\u202fcm 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\u202fcm 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_crpm-2026-0018_abs_003\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/crpm-2026-0018","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T14:22:56Z","timestamp":1790259776000},"source":"Crossref","is-referenced-by-count":0,"title":["Neonatal humeral fracture and scalp laceration following difficult cesarean delivery for transverse lie: a case report"],"prefix":"10.1515","volume":"15","author":[{"given":"Abdullah","family":"Aljasar","sequence":"first","affiliation":[{"name":"Royal College of Surgeons in Ireland (RCSI) , Adliya , Bahrain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zainab","family":"Aljasar","sequence":"additional","affiliation":[{"name":"Royal College of Surgeons in Ireland (RCSI) , Adliya , Bahrain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nedaa","family":"Khaiyon","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology , Aisha Bint Hamad Al-Alattiyah Hospital, Hamad Medical Corporation , Doha , Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"2026092413574160031_j_crpm-2026-0018_ref_001","doi-asserted-by":"crossref","unstructured":"Dalvi, SA. Difficult deliveries in cesarean section. J\u00a0Obstet Gynaecol India 2018;68:344\u20138. https:\/\/doi.org\/10.1007\/s13224-017-1052-x.","DOI":"10.1007\/s13224-017-1052-x"},{"key":"2026092413574160031_j_crpm-2026-0018_ref_002","doi-asserted-by":"crossref","unstructured":"Alexander, JM, Leveno, KJ, Hauth, J, Landon, MB, Thom, E, Spong, CY, et al.. Fetal injury associated with cesarean delivery. Obstet Gynecol 2006;108:885\u201390. https:\/\/doi.org\/10.1097\/01.aog.0000237116.72011.f3.","DOI":"10.1097\/01.AOG.0000237116.72011.f3"},{"key":"2026092413574160031_j_crpm-2026-0018_ref_003","doi-asserted-by":"crossref","unstructured":"Lenz, F, Kimmich, N, Zimmermann, R, Kreft, M. Maternal and neonatal outcome of reverse breech extraction of an impacted fetal head\u00a0during caesarean section in advanced stage of labour: a\u00a0retrospective cohort study. BMC Pregnancy Childbirth 2019;19:98. https:\/\/doi.org\/10.1186\/s12884-019-2253-3.","DOI":"10.1186\/s12884-019-2253-3"},{"key":"2026092413574160031_j_crpm-2026-0018_ref_004","doi-asserted-by":"crossref","unstructured":"Visconti, F, Quaresima, P, Rania, E, Palumbo, AR, Micieli, M, Zullo, F, et al.. Difficult caesarean section: a literature review. Eur J Obstet Gynecol Reprod Biol 2020;246:72\u20138. https:\/\/doi.org\/10.1016\/j.ejogrb.2019.12.026.","DOI":"10.1016\/j.ejogrb.2019.12.026"},{"key":"2026092413574160031_j_crpm-2026-0018_ref_005","doi-asserted-by":"crossref","unstructured":"Wilkof-Segev, R, Naeh, A, Barda, S, Hallak, M, Gabbay-Benziv, R. Unintended uterine extension at the time of cesarean delivery: risk factors and associated adverse maternal and neonatal outcomes. 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J\u00a0Gynecol Obstet Hum Reprod 2018;47:325\u20139. https:\/\/doi.org\/10.1016\/j.jogoh.2018.05.002.","DOI":"10.1016\/j.jogoh.2018.05.002"},{"key":"2026092413574160031_j_crpm-2026-0018_ref_009","doi-asserted-by":"crossref","unstructured":"Sangara, RN, Youssefzadeh, AC, Mandelbaum, RS, McCarthy, LE, Matsuzaki, S, Matsushima, K, et al.. Prior vertical uterine incision: effect on subsequent pregnancy characteristics and outcomes. Int J Gynaecol Obstet 2023;160:85\u201392. https:\/\/doi.org\/10.1002\/ijgo.14195.","DOI":"10.1002\/ijgo.14195"},{"key":"2026092413574160031_j_crpm-2026-0018_ref_010","doi-asserted-by":"crossref","unstructured":"Patterson, LS, O\u2019Connell, CM, Baskett, TF. Maternal and perinatal morbidity associated with classic and inverted T cesarean incisions. 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