Zavanelli maneuver

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Zavanelli Maneuver

The Zavanelli Maneuver (pronounced: zah-vah-nell-ee) is a rare obstetric procedure used in childbirth. It is named after the Italian obstetrician, Dr. Carlo Zavanelli, who first described the procedure in 1985.

Etymology

The term "Zavanelli Maneuver" is derived from the name of the Italian obstetrician, Dr. Carlo Zavanelli, who first described the procedure in 1985.

Definition

The Zavanelli Maneuver is a last-resort procedure used in obstetrics when a shoulder dystocia or a breech birth cannot be resolved by other means. The procedure involves the reinsertion of the baby's head into the birth canal following a failed attempt at delivery, followed by an immediate cesarean section.

Procedure

The Zavanelli Maneuver is performed under general anesthesia. The obstetrician pushes the baby's head back into the uterus while rotating it to the occiput anterior position. Once the head is reinserted, an immediate cesarean section is performed to deliver the baby.

Related Terms

  • Obstetrics: The branch of medicine and surgery concerned with childbirth and the care of women giving birth.
  • Shoulder Dystocia: A complication during childbirth where the baby's shoulder gets stuck behind the mother's pelvic bone.
  • Breech Birth: A birth complication where the baby is positioned to be delivered feet-first instead of head-first.
  • Cesarean Section: A surgical procedure used to deliver a baby through incisions in the abdomen and uterus.

Risks and Complications

The Zavanelli Maneuver is associated with significant risks and complications, including potential injury to the baby and mother, increased risk of infection, and the possibility of a difficult or failed procedure. It is only performed when all other options have been exhausted.

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