Abstract：
Shoulder dystocia is a serious obstetric complication, where one or both shoulders of a child are trapped after the head is born during vaginal delivery. The situation is life-threatening for the child and requires quick management with obstetric manoeuveres for delivering the shoulders. Rarely, the abdominal approach called Zavanelli manoeuvre is used to achieve delivery after a replacement of the head back in the birth canal, prior to acute caesarean section. This is a case report of a 26-year-old woman with severe shoulder dystocia, failed Zavanelli manoeuvre and vaginal delivery of a lifeless child.
摘要：
肩难产是一种严重的产科并发症，在阴道分娩期间，孩子的一个或两个肩膀在头部出生后被困。这种情况对儿童来说是危及生命的，需要通过产科操作进行快速管理以交付肩膀。很少,称为Zavanelli操作的腹部方法用于在将头部置换回产道后实现分娩，在急性剖腹产之前。这是一例26岁妇女严重肩难产的病例报告,Zavanelli的动作和一个没有生命的孩子的阴道分娩失败。
