THE ZAVANELLI MANEUVER: A DIFFERENT PERSPECTIVE

Some obstetricians recommend the Zavanelli maneuver to resolve shoulder dystocia. Descriptions in the literature report an almost automatic ease in performance of the maneuver. We report a case of severe shoulder dystocia in which management with the Zavanelli maneuver and immediate cesarean was ext...

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Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 1992-05, Vol.79 (5, Part 2 Suppl), p.883-883
Hauptverfasser: Graham, Jack M, Blanco, Jorge D, Wen, Tony, Magee, Kevin P
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container_end_page 883
container_issue 5, Part 2 Suppl
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container_title Obstetrics and gynecology (New York. 1953)
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creator Graham, Jack M
Blanco, Jorge D
Wen, Tony
Magee, Kevin P
description Some obstetricians recommend the Zavanelli maneuver to resolve shoulder dystocia. Descriptions in the literature report an almost automatic ease in performance of the maneuver. We report a case of severe shoulder dystocia in which management with the Zavanelli maneuver and immediate cesarean was extremely difficult. The procedure involved exact reversal of all the cardinal movements of labor, and the delivery required terbutaline, general anesthesia, and added personnel to ensure successful extraction of the fetus. A delivery requiring the Zavanelli maneuver can be difficult to perform and may be worsened by insufficient personnel and inexact reversal of all the cardinal movements of labor.
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source MEDLINE; Journals@Ovid Complete
subjects Adolescent
Delivery, Obstetric - methods
Dystocia - therapy
Female
Humans
Infant, Newborn
Male
Pregnancy
title THE ZAVANELLI MANEUVER: A DIFFERENT PERSPECTIVE
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