Document Detail

The Zavanelli maneuver: a different perspective.
MedLine Citation:
PMID:  1565397     Owner:  NLM     Status:  MEDLINE    
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.
J M Graham; J D Blanco; T Wen; K P Magee
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  79     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1992 May 
Date Detail:
Created Date:  1992-05-20     Completed Date:  1992-05-20     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  883-4     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Texas Tech University, Lubbock.
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MeSH Terms
Delivery, Obstetric / methods*
Dystocia / therapy*
Infant, Newborn

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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