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The Zavanelli maneuver applied to locked twins
J M Swartjes1, O P Bleker, M F Schutte
1Department of Obstetrics and Gynecology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.
American Journal of Obstetrics and Gynecology
|February 1, 1992
Summary
The Zavanelli maneuver successfully managed locked twins. This obstetric procedure reversed a critical situation, resulting in positive outcomes for both infants after a challenging delivery.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Locked twins present a rare but potentially catastrophic obstetric emergency.
- Timely intervention is crucial to optimize maternal and fetal outcomes in such scenarios.
Observation:
- The Zavanelli maneuver, involving uterine manipulation and repositioning of the first twin, was employed in a case of locked twins.
- Following the maneuver, the first infant was returned to the uterus, and an emergency cesarean section was performed.
Findings:
- Despite an initially challenging start, both infants delivered via cesarean section following the Zavanelli maneuver demonstrated positive Apgar scores and overall well-being.
- The successful application of the Zavanelli maneuver highlights its potential in resolving locked twin complications.
Implications:
- The Zavanelli maneuver offers a viable alternative for managing locked twins, potentially preventing severe neonatal morbidity or mortality.
- This case underscores the importance of advanced obstetric techniques in managing complex multifetal gestations.