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The Zavanelli maneuver involves pushing the presenting fetal parts that have already been delivered back inside the vagina and uterus to enable cesarean delivery [1]. This rare fetal rescue maneuver is most often performed after obstetric maneuvers have failed to relieve shoulder dystocia.In the present case, the maneuver was performed during delivery of a fetus in breech presentation at 40 weeks of gestation. After failure of external cephalic version at 36 weeks, the nulliparous mother was managed expectantly. Based on a previous published prediction model [2], fetal measurements and pelvimetry indicated a trial of vaginal delivery, for which the patient provided informed consent. At delivery, cervical dilatation went from 4-10 cm in 1 hour. Pushing resulted in easy delivery of the lower limbs, buttocks, and back, up to the shoulder blades. It was then observed that the fetus had inalterably raised arms, which the senior physician could not lower despite performing Lovset maneuvers. The decision was made to push the fetus back into the vagina and the patient was transferred urgently to the operating room. A Misgav Ladach incision followed by a transversal incision allowed easy removal of the neonate 6 minutes after the decision had been made. The neonate weighed 3060 g, with Apgar scores of 3 and 7 at 1 and 5 minutes, respectively. The umbilical artery pH was 7.05 and the base deficit was −12.0 mMol/L. Transfontanellar