Zavanelli maneuver

Zavanelli Maneuver is a medical procedure used in obstetrics during the second stage of labor when a shoulder dystocia or a breech birth is encountered. It involves the reinsertion of the fetal head into the birth canal followed by an emergency cesarean section.

History

The Zavanelli Maneuver was first described by Dr. Oscar Zavanelli in 1985. It was introduced as a last resort procedure to manage shoulder dystocia, a situation where the baby's shoulder gets stuck behind the mother's pelvic bone during delivery.

Procedure

The Zavanelli Maneuver is performed when all other methods to relieve shoulder dystocia have failed. The delivering physician pushes the baby's head back into the birth canal while another physician administers a drug to relax the mother's uterus. This is followed by an emergency cesarean section to deliver the baby.

Risks and Complications

The Zavanelli Maneuver is associated with several risks and complications. These include potential injury to the baby, such as brain damage due to lack of oxygen, and injury to the mother, such as uterine rupture or infection. It is therefore considered a procedure of last resort.

See Also

• Shoulder Dystocia
• Cesarean Section
• Breech Birth

References

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