| Kjelland's forceps in the new millennium. Maternal and neonatal outcomes of attempted rotational forceps delivery. | |
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MedLine Citation:
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PMID: 19780735 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The use of Kjelland's forceps is now uncommon, and published maternal and neonatal outcome data are from deliveries conducted more than a decade ago. The role of Kjelland's rotational delivery in the 'modern era' of high caesarean section rates is unclear. AIMS: To compare the results of attempted Kjelland's forceps rotational delivery with other methods of instrumental delivery in a tertiary hospital. METHODS: Retrospective review of all instrumental deliveries for singleton pregnancies 34 or more weeks gestation in a four-year birth cohort, with reference to adverse maternal and neonatal outcomes. RESULTS: The outcomes of 1067 attempted instrumental deliveries were analysed. Kjelland's forceps were successful in 95% of attempts. Kjelland's forceps deliveries had a rate of adverse maternal outcomes indistinguishable from non-rotational ventouse, and lower than all other forms of instrumental delivery. Kjelland's forceps also had a lower rate of adverse neonatal outcomes than all other forms of instrumental delivery. CONCLUSIONS: Prudent use of Kjelland's forceps by experienced operators is associated with a very low rate of adverse maternal and neonatal outcomes. Training in this important obstetric skill should be reconsidered urgently, before it is lost forever. |
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Authors:
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Raya Al-Suhel; Simmerjyot Gill; Stephen Robson; Bruce Shadbolt |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Australian & New Zealand journal of obstetrics & gynaecology Volume: 49 ISSN: 1479-828X ISO Abbreviation: Aust N Z J Obstet Gynaecol Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-09-28 Completed Date: 2010-01-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0001027 Medline TA: Aust N Z J Obstet Gynaecol Country: Australia |
Other Details:
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Languages: eng Pagination: 510-4 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, The Canberra Hospital, Garran, Australian Capital Territory 2606, Australia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Clinical Competence* Extraction, Obstetrical / adverse effects, instrumentation* Female Humans Obstetrical Forceps / adverse effects, utilization* Pregnancy Retrospective Studies Version, Fetal / adverse effects, instrumentation* Young Adult |
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