The Zavanelli maneuver for fetal shoulder dystocia. Three cases with poor outcomes
Spellacy, W.N.
Journal of Reproductive Medicine 40(7): 543-544
1995
ISSN/ISBN: 0024-7758 PMID: 7473447 Document Number: 444634
Background: There are several reports on the management of severe fetal shoulder dystocia by pushing the head back into the vagina and delivering the infant by cesarean section; this procedure is called the Zavanelli maneuver. Cases: Three cases were reviewed to determine the outcomes of the infants. The three neonates all demonstrated severe perinatal hypoxia that ultimately resulted in brain damage and/or death. Conclusion: Management of shoulder dystocia using the Zavanelli maneuver carries a high risk of severe infant perinatal hypoxia and damage.