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 |
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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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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. 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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.</description><subject>Adolescent</subject><subject>Delivery, Obstetric - methods</subject><subject>Dystocia - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Pregnancy</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotkNFLwzAYxIMoc07_BKFPvgWTfE3z1bcyM1eoc8xuiC-lTVM27dxsWob_vYX16eDux8HdBRlzVEAFwMclGTMmQqrQ96_JjXNfjDEehDAiIy4DCaEak8d0rr3PaBMtdJLE3muv641ePXmR9xzPZnqlF6m31Kv3pZ6m8Ubfkqsqr529G3RC1jOdTuc0eXuJp1FCj0JySRFEwMEUxijFfcNzUypAXua8EIqpSqLPK6jCoigUBKLEEvyqRCWRSwOWwYQ8nHuPzeG3s67N9jtnbF3nP_bQuUwJRAwQe_B-ALtib8vs2Oz2efOXDQv73D_np0Pd2sZ9193JNtnW5nW7zfpHWCAkozwMBZP9P7R3QMI_HDtXIQ</recordid><startdate>199205</startdate><enddate>199205</enddate><creator>Graham, Jack M</creator><creator>Blanco, Jorge D</creator><creator>Wen, Tony</creator><creator>Magee, Kevin P</creator><general>The American College of Obstetricians and Gynecologists</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199205</creationdate><title>THE ZAVANELLI MANEUVER: A DIFFERENT PERSPECTIVE</title><author>Graham, Jack M ; Blanco, Jorge D ; Wen, Tony ; Magee, Kevin P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2515-832613cbcc7714c1acd7381da1b2707f5841f3f9bbb7362d8d34fd875815c3e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adolescent</topic><topic>Delivery, Obstetric - methods</topic><topic>Dystocia - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Pregnancy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Graham, Jack M</creatorcontrib><creatorcontrib>Blanco, Jorge D</creatorcontrib><creatorcontrib>Wen, Tony</creatorcontrib><creatorcontrib>Magee, Kevin P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Graham, Jack M</au><au>Blanco, Jorge D</au><au>Wen, Tony</au><au>Magee, Kevin P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>THE ZAVANELLI MANEUVER: A DIFFERENT PERSPECTIVE</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1992-05</date><risdate>1992</risdate><volume>79</volume><issue>5, Part 2 Suppl</issue><spage>883</spage><epage>883</epage><pages>883-883</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><abstract>Some obstetricians recommend the Zavanelli maneuver to resolve shoulder dystocia. 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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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