Zavanelli maneuver
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The 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 cases of shoulder dystocia.[1][2]
The Zavanelli 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 puerperal sepsis. The Zavanelli maneuver is not performed very often in the United States.[4] It is named after William Angelo "Bill" Zavanelli (born October 10, 1926), who performed the procedure on January 18, 1978 as a clinical instructor in obstetrics and gynecology at the University of California, San Francisco.[5]
See also
- McRoberts maneuver
- Wood's screw maneuver
- Shoulder dystocia
- Treatment of shoulder dystocia
- The mechanics of birth
References
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