The zavanelli maneuver: A different perspective

Jack M. Graham, Jorge D. Blanco, Tony Wen, Kevin P. Magee

Research output: Contribution to journalArticle

22 Scopus citations

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. (Obstet Gynecol 1992;79:883-4)

Original languageEnglish (US)
Pages (from-to)883-884
Number of pages2
JournalObstetrics and gynecology
Volume79
Issue number5
StatePublished - May 1992

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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