The Zavanelli manoeuvre in shoulder dystocia: case report and review of published cases

J H Vollebergh1, P W van Dongen

  • 1Department of Obstetrics and Gynaecology, University Hospital St. Radboud, Nijmegen, The Netherlands.

A case of severe shoulder dystocia is reported in which, after other methods had failed, cephalic replacement succeeded but was very difficult. The infant suffered severe damage. A review of methods to relieve shoulder dystocia is given, with special attention to published cases of the Zavanelli manoeuvre. It could only be used when all other methods fail.

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