FAVORABLE NEONATAL OUTCOME AFTER FETAL ENTRAPMENT AND PARTIALLY SUCCESSFUL ZAVANELLI MANEUVER IN A CASE OF BREECH PRESENTATION

A 16-year-old primigravida woman presented in advanced labor with a si ngleton breech presentation. Vaginal delivery was considered to be pos sible, but entrapment at the level of the fetal thorax occurred. The Z avanelli maneuver was attempted unsuccessfully. A cesarean section was performed immediately but was complicated by lateroflexion of the fet us. The attending pediatrician proceeded to endotracheal intubation an d ventilation of the partially born baby. Repositioning of the mother facilitated delivery. The fetus survived without any complications. Th is case illustrates the lack of scientific data to support decision-ma king in the case of patients presenting with breech presentation late in labor, as well as the unconventional steps sometimes needed in thes e situations.