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.
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. 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. 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.
- McRoberts maneuver
- Woods' screw maneuver
- Shoulder dystocia
- Treatment of shoulder dystocia
- The mechanics of birth
- Baxley EG, Gobbo RW (April 2004). "Shoulder dystocia". Am Fam Physician. 69 (7): 1707–14. PMID 15086043.
- 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.
- Kish, Karen; Joseph V. Collea (2003). "Malpresentation & Cord Prolapse (Chapter 21)". In Alan H. DeCherney. Current Obstetric & Gynecologic Diagnosis & Treatment. Lauren Nathan (Ninth ed.). Lange/McGraw-Hill. p. 382. ISBN 0-07-118207-1.
- Gabbe, Steven G. Obstetrics : normal and problem pregnancies (6th ed.). Philadelphia: Elsevier/Saunders. p. 412. ISBN 9781437719352.