The Zavanelli maneuver

A different perspective

J. M. Graham, J. D. Blanco, T. Wen, K. P. Magee

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)883-884
Number of pages2
JournalObstetrics and Gynecology
Volume79
Issue number5 II
StatePublished - 1992
Externally publishedYes

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Dystocia
Terbutaline
General Anesthesia
Fetus

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Graham, J. M., Blanco, J. D., Wen, T., & Magee, K. P. (1992). The Zavanelli maneuver: A different perspective. Obstetrics and Gynecology, 79(5 II), 883-884.

The Zavanelli maneuver : A different perspective. / Graham, J. M.; Blanco, J. D.; Wen, T.; Magee, K. P.

In: Obstetrics and Gynecology, Vol. 79, No. 5 II, 1992, p. 883-884.

Research output: Contribution to journalArticle

Graham, JM, Blanco, JD, Wen, T & Magee, KP 1992, 'The Zavanelli maneuver: A different perspective', Obstetrics and Gynecology, vol. 79, no. 5 II, pp. 883-884.
Graham JM, Blanco JD, Wen T, Magee KP. The Zavanelli maneuver: A different perspective. Obstetrics and Gynecology. 1992;79(5 II):883-884.
Graham, J. M. ; Blanco, J. D. ; Wen, T. ; Magee, K. P. / The Zavanelli maneuver : A different perspective. In: Obstetrics and Gynecology. 1992 ; Vol. 79, No. 5 II. pp. 883-884.
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