Favorable Neonatal Outcome after Fetal Entrapment and Partially Successful Zavanelli Maneuver in a Case of Breech Presentation

Wilhelm Steyn; Clarissa Pieper

doi:10.1055/s-2007-994551

American Journal of Perinatology, Table of Contents

Am J Perinatol 1994; 11(5): 348-349
DOI: 10.1055/s-2007-994551

ORIGINAL ARTICLE

Favorable Neonatal Outcome after Fetal Entrapment and Partially Successful Zavanelli Maneuver in a Case of Breech Presentation

Wilhelm Steyn, Clarissa Pieper

Department of Obstetrics & Gynaecology, Tygerberg Hospital, and University of Stellenbosch and the MRC Unit for Perinatal Mortality and Department of Paediatrics and Child Health, Tygerberg Hospital and University of Stellenbosch, Tygerberg, Republic of South Africa

Abstract

ABSTRACT

A 16-year-old primigravida woman presented in advanced labor with a singleton breech presentation. Vaginal delivery was considered to be possible, but entrapment at the level of the fetal thorax occurred. The Zavanelli maneuver was attempted unsuccessfully. A cesarean section was performed immediately but was complicated by lateroflexion of the fetus. The attending pediatrician proceeded to endotracheal intubation and ventilation of the partially born baby. Repositioning of the mother facilitated delivery. The fetus survived without any complications. This case illustrates the lack of scientific data to support decision-making in the case of patients presenting with breech presentation late in labor, as well as the unconventional steps sometimes needed in these situations.

Keywords

Cesarean section - breech presentation

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