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Table 3 Erb’s palsy cases after Zavanelli manoeuvre

From: A systematic review of brachial plexus injuries after caesarean birth: challenging delivery?

Author

Erb’s palsy cases after Zavanelli

Details

Doty et al. [48]

1

• Shoulder dystocia required over 3 maneuvers.

Gherman et al. [49]

1

• 40 weeks’.

• Diet-controlled gestational diabetes, good glycaemic control

• 37 pound weight gain.

• Ventouse delivery

• Posterior arm impacted.

• Zavanelli’s performed - ‘unsuspected macrosomic’ infant weighing 4215 g delivered 35 min after initial recognition of the shoulder dystocia.

• C5-C7 brachial plexus palsy, persistent at 3 years old.

Iffy et al. [22]

1

• 39 weeks’.

• High BMI.

• Oxytocin augmentation.

• 100-minute second stage.

• Forceps delivery after failed ventouse (maternal exhaustion at + 3 to the maternal spines)

• 4.4 kg baby born within 13 min by Zavanelli’s.

• Left permanent brachial plexus injury.

Iffy et al. [50]

2

• Two occurred after SVD

• Both cases of Erb’s palsy lasted over 6 months.

Kenaan et al. [51]

2

Case 1

• 39 weeks’.

• Type 2 diabetes, BMI 35. 11 kg weight gain.

• Spontaneous vaginal delivery.

• Head replaced after 2 min of maneuvers.

• Uncomplicated CS of 4997 g neonate.

• Discharged on day 9 with resolved Erb’s.

Case 2

• 39 weeks’.

• BMI 29, 16 kg weight gain.

• Spontaneous labor

• 3 h second stage, ventouse delivery.

• Zavanelli manoeuvre performed after 4 min.

• Neonate weighed 4043 g.

• Discharged on day 5 with resolved Erb’s palsy.

Sandmire [52]

1

• Maternal weight 206 pounds (93.4 kg).

• Head replaced without difficulty

• 5100 g baby delivered under general anaesthesia 12 min after head replacement.

• Mild weakness of one arm.

Turrentine et al. [53]

1

• No further details other than Zavanelli manoeuvre performed.

• Persisted at 8 months.