[Zavanelli maneuver in a breech presentation: to be kept in mind]

Abstract

Since its first description in 1980, the Zavanelli maneuver - reintroduction of the fetus in the uterus after failure of maneuver to reduce shoulder dystocia - remains an extraordinary and nearly unknown remedy. We report a Zavanelli maneuver performed in a case of irreducible raising arm of a fetus in breech presentation. Literature and our observation indicate that fetal and neonatal prognosis in Zavanelli maneuver is pretty good if breech presentation. This exceptional situation should remain in mind of obstetricians.

Keywords: Accouchement; Breech presentation; Cesarean delivery; Manœuvre; Présentation du siège; Zavanelli; Zavanelli maneuver.