Hensleigh P A, Ray-Friele E, Chao A, Glasscock G F
Department of Obstetrics and Gynaecology, Santa Clara Valley Medical Center, San Jose, California.
Am J Obstet Gynecol. 1995 Jan;172(1 Pt 1):221-2. doi: 10.1016/0002-9378(95)90122-1.
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.
一名孕34周急性羊水过多并晚期早产的患者，在孕中期胎儿超声诊断出腹裂后前来就诊。胎儿还患有胎粪性腹膜炎和急性腹水。分娩第二产程中，膨隆的腹部未自行减压。通过扎瓦内利手法（胎头回纳）和剖宫产解决了严重的腹部难产。这是首次报道将扎瓦内利手法用于腹部难产。
