Zavanelli maneuver
Zavanelli maneuver is an obstetric maneuver that involves pushing back the delivered fetal head into the birth canal in anticipation of performing a cesarean section in case of shoulder dystocia.[1][2]
The Zavenelli maneuver is performed only after other maneuvers have failed, as it is associated with high risk to both the mother and the fetus.[3][4] A review published in 1985 found that 84 of 92 cases of Zavanelli maneuver were successful in replacing the head of the fetus back into the uterus.[2] Risks of the maneuver to the mother include soft tissue damage and sepsis.[4] The Zavanelli maneuver is not performed very often in the United States.[4]
See also
- McRoberts maneuver
- Woods' screw maneuver
- Shoulder dystocia
- Treatment of shoulder dystocia
- The mechanics of birth
References
- ↑ Baxley EG, Gobbo RW (April 2004). "Shoulder dystocia". Am Fam Physician 69 (7): 1707–14. PMID 15086043.
- 1 2 Sandberg, EC (Jun 15, 1985). "The Zavanelli maneuver: a potentially revolutionary method for the resolution of shoulder dystocia.". American Journal of Obstetrics and Gynecology 152 (4): 479–84. doi:10.1016/s0002-9378(85)80161-7. PMID 4014342.
- ↑ Kish, Karen; Joseph V. Collea (2003). "Malpresentation & Cord Prolapse (Chapter 21)". In Alan H. DeCherney. Current Obstetric & Gynecologic Diagnosis & Treatment. Lauren Nathan (Ninth ed.). Lange/McGraw-Hill. p. 382. ISBN 0-07-118207-1.
- 1 2 3 Gabbe, Steven G. Obstetrics : normal and problem pregnancies (6th ed.). Philadelphia: Elsevier/Saunders. p. 412. ISBN 9781437719352.
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