Zavanelli

Zavanelli Maneuver is a medical procedure used in obstetrics during the second stage of labor when shoulder dystocia or other complications prevent the normal delivery of the baby. The maneuver involves pushing the baby's head back into the birth canal and performing an emergency cesarean section.

History

The Zavanelli Maneuver was first described by Dr. Oscar Zavanelli in 1985. It was initially considered a last resort procedure, but has since been used more frequently in cases of severe shoulder dystocia or other complications.

Procedure

The Zavanelli Maneuver is performed when other methods to resolve shoulder dystocia have failed. The delivering physician pushes the baby's head back into the birth canal while another physician administers a tocolytic drug to relax the uterus. An emergency cesarean section is then performed to deliver the baby.

Risks and Complications

The Zavanelli Maneuver is associated with a number of 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 therefore considered a last resort and is only performed when other methods have failed.

See Also

• Shoulder dystocia
• Cesarean section
• Obstetrics

References

Zavanelli Resources
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