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The Zavanelli maneuver for fetal shoulder dystocia. Three cases with poor outcomes.

1995; National Institutes of Health; Volume: 40; Issue: 7 Linguagem: Inglês

William N. Spellacy,

Mechanical Circulatory Support Devices

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.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.Management of shoulder dystocia using the Zavanelli maneuver carries a high risk of severe infant perinatal hypoxia and damage.