Zavanelli maneuver

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The Zavanelli maneuver is an obstetric maneuver that involves pushing back the delivered fetal head into the birth canal in anticipation of performing a cesarean section in cases of shoulder dystocia.[1][2]

The Zavanelli maneuver is performed only after other maneuvers have failed, as it is associated with high risk to both the mother and the fetus.[3][4] A review published in 1985 found that 84 of 92 cases of Zavanelli maneuver were successful in replacing the head of the fetus back into the uterus.[2] Risks of the maneuver to the mother include soft tissue damage and sepsis. The Zavanelli maneuver is not performed very often in the United States.[4]

See also[edit]


  1. ^ Baxley EG, Gobbo RW (April 2004). "Shoulder dystocia". Am Fam Physician. 69 (7): 1707–14. PMID 15086043.
  2. ^ a b Sandberg, EC (Jun 15, 1985). "The Zavanelli maneuver: a potentially revolutionary method for the resolution of shoulder dystocia". American Journal of Obstetrics and Gynecology. 152 (4): 479–84. doi:10.1016/s0002-9378(85)80161-7. PMID 4014342.
  3. ^ Kish, Karen; Joseph V. Collea (2003). "Malpresentation & Cord Prolapse (Chapter 21)". In Alan H. DeCherney (ed.). Current Obstetric & Gynecologic Diagnosis & Treatment. Lauren Nathan (Ninth ed.). Lange/McGraw-Hill. p. 382. ISBN 0-07-118207-1.
  4. ^ a b Gabbe, Steven G. Obstetrics : normal and problem pregnancies (6th ed.). Philadelphia: Elsevier/Saunders. p. 412. ISBN 9781437719352.