The Zavanelli maneuver for relief of abdominal dystocia associated with gastroschisis

A patient with acute hydramnios and advanced preterm labor at 34 weeks was seen after gastroschisis had been diagnosed by second-trimester fetal ultrasonography. The fetus also had meconium peritonitis and acute ascites. The distended abdomen did not decompress spontaneously during the second stage...

Full description

Saved in:
Bibliographic Details
Published in:American journal of obstetrics and gynecology 1995, Vol.172 (1), p.221-222
Main Authors: Hensleigh, Paul A., Ray-Friele, Eleanor, Chao, Andrew, Glasscock, Gregory F.
Format: Article
Language:English
Subjects:
Abdominal dystocia
Abdominal Muscles - abnormalities
Abdominal Muscles - diagnostic imaging
Adolescent
Ascites - complications
Biological and medical sciences
cephalic replacement
Cesarean Section
Delivery. Postpartum. Lactation
Dystocia - complications
Dystocia - therapy
Female
Fetal Diseases
Fetus - abnormalities
gastroschisis
Gynecology. Andrology. Obstetrics
Humans
Intestinal Diseases - diagnostic imaging
Intestinal Diseases - etiology
Meconium
Medical sciences
Obstetrical techniques
Obstetrics - methods
Peritonitis - complications
Pregnancy
Ultrasonography, Prenatal
Zavanelli meneuver
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A patient with acute hydramnios and advanced preterm labor at 34 weeks was seen after gastroschisis had been diagnosed by second-trimester fetal ultrasonography. The fetus also had meconium peritonitis and acute ascites. The distended abdomen did not decompress spontaneously during the second stage of labor. Severe abdominal dystocia was resolved with the Zavanelli maneuver (cephalic replacement) and cesarean delivery. This is the first reported use of the Zavanelli maneuver for abdominal dystocia.
ISSN:0002-9378
1097-6868
DOI:10.1016/0002-9378(95)90122-1