Zavenelli’s manoeuver done in:
**Core Concept**
Zavenelli's maneuver, also known as Zavaneli's maneuver, is a medical procedure used to manage a specific obstetric complication. It involves the manipulation of the fetal head to facilitate delivery during a breech presentation.
**Why the Correct Answer is Right**
During a breech delivery, the fetal head may become impacted in the pelvis, leading to a prolonged and difficult delivery. Zavenelli's maneuver involves delivering the baby by the breech, then immediately clamping and cutting the umbilical cord, and finally delivering the placenta. This allows for a quicker delivery and reduces the risk of complications associated with a prolonged labor. The mechanism behind this maneuver is based on the understanding of fetal physiology and the need to minimize the time between delivery of the baby and delivery of the placenta.
**Why Each Wrong Option is Incorrect**
**Option A:** Zavenelli's maneuver is not used to manage cephalopelvic disproportion, which is a condition where the baby's head is too large to pass through the mother's pelvis.
**Option B:** Zavenelli's maneuver is not used to manage placenta previa, which is a condition where the placenta covers the cervix and can cause bleeding during delivery.
**Option C:** Zavenelli's maneuver is not used to manage multiple pregnancy, where there are two or more fetuses in the womb.
**Clinical Pearl / High-Yield Fact**
Zavenelli's maneuver is a high-risk procedure and should only be performed by experienced obstetricians in a controlled environment. It is essential to carefully assess the risks and benefits before attempting this maneuver.
**Correct Answer: C. Breech presentation. Zavenelli's maneuver is done in breech presentation.**