Document Detail

Kielland vs. nonrotational forceps for the second stage of labor.
MedLine Citation:
PMID:  10394545     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To examine and compare maternal and neonatal morbidity after use of two types of obstetric forceps used in the management of the second stage of labor. STUDY DESIGN: This retrospective investigation was conducted from January 1993 to December 1995 and included 55 infants delivered with Kielland forceps as compared to 213 infants delivered with nonrotational forceps. The maternal and neonatal charts were reviewed for data collection. Maternal complications compared included blood loss, vaginal lacerations, postpartum hemorrhage, and third- and fourth-degree perineal lacerations. Infant data collected compared fetal lacerations, nerve palsies, shoulder dystocias, blood gas values and admissions to the neonatal intensive care unit. Statistical analysis was performed by Fisher's exact, chi 2 and Student's t test. RESULTS: Women in both groups were similar with respect to age, gravidity, parity and estimated gestational age at delivery. Infants were similar in both groups with respect to fetal weight, admissions to the neonatal intensive care unit, nerve compromise, scalp lacerations and facial bruising. The Kielland group had statistically significantly longer labor, 671 +/- 285.8 vs. 614 +/- 226.5 minutes (P < .05) and longer second stage of labor 184 +/- 74.71 vs. 161 +/- 65.79 minutes (P < .05). The Kielland group also had a statistically higher percentage of one-minute Apgar scores < 6, 18.2% vs. 4.7% (P < .05), and meconium present at delivery, 14.5% vs. 5.6% (P < .05). CONCLUSION: Management of the second stage of labor can be accomplished safely with Kielland forceps and rotation of the fetal head. Supervision by an experienced operator will allow residents to be trained with respect to appropriate patient selection and application of these forceps.
T C Krivak; P Drewes; G M Horowitz
Related Documents :
9435735 - Different types of acid-base changes at birth, fetal heart rate patterns, and infant ou...
2135475 - Ascaris lumbricoides in neonate: evidence of congenital transmission of intestinal nema...
18000225 - Matrix metalloproteinases and their tissue inhibitors in preterm perinatal complications.
18681835 - Prelabor rupture of membranes at term requiring labor induction - a feature of occult f...
24700375 - Human milk composition differs in healthy mothers and mothers with celiac disease.
3102125 - Percentile estimates of reference values for total protein and albumin in sera of prema...
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  44     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-08-19     Completed Date:  1999-08-19     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  511-7     Citation Subset:  IM    
Department of Obstetrics and Gynecology, David Grant Medical Center, Travis Air Force Base, California, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Apgar Score
Birth Injuries / etiology
Delivery, Obstetric / methods
Facial Injuries / etiology
Infant, Newborn
Intensive Care, Neonatal
Labor Stage, Second*
Obstetrical Forceps* / adverse effects
Retrospective Studies
Scalp / injuries

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  A new laparoscopic retroperitoneal posterior culdoplasty technique.
Next Document:  Economic impact of automated primary screening for cervical cancer.