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. |