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  • Title: The Zavanelli maneuver for fetal shoulder dystocia. Three cases with poor outcomes.
    Author: Spellacy WN.
    Journal: J Reprod Med; 1995 Jul; 40(7):543-4. PubMed ID: 7473447.
    Abstract:
    BACKGROUND: There are several reports on the management of severe fetal shoulder dystocia by pushing the head back into the vagina and delivering the infant by cesarean section; this procedure is called the Zavanelli maneuver. CASES: Three cases were reviewed to determine the outcomes of the infants. The three neonates all demonstrated severe perinatal hypoxia that ultimately resulted in brain damage and/or death. CONCLUSION: Management of shoulder dystocia using the Zavanelli maneuver carries a high risk of severe infant perinatal hypoxia and damage.
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