title: The Zavanelli manoeuvre in shoulder dystocia: case report and review of published cases.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynaecology, University Hospital St. Radboud, Nijmegen, The Netherlands.
authors.forename: J H
authors.initials: JH
authors.lastname: Vollebergh
authors.forename: P W
authors.initials: PW
authors.lastname: van Dongen
mesh_terms: D000328:Adult; D001720:Birth Injuries / Q000209:etiology; D002547:Cerebral Palsy / Q000209:etiology; D036861:Delivery, Obstetric / Q000009:adverse effects / Q000379:methods*; D004420:Dystocia / Q000628:therapy*; D005260:Female; D020567:Fetal Weight; D006801:Humans; D013513:Obstetric Surgical Procedures; D011247:Pregnancy; D012782:Shoulder; D014710:Version, Fetal