Vollebergh J H, van Dongen P W
Department of Obstetrics and Gynaecology, University Hospital St. Radboud, Nijmegen, The Netherlands.
Eur J Obstet Gynecol Reprod Biol. 2000 Mar;89(1):81-4. doi: 10.1016/s0301-2115(99)00163-3.
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.