Document Detail


Kjelland's forceps in the new millennium. Maternal and neonatal outcomes of attempted rotational forceps delivery.
MedLine Citation:
PMID:  19780735     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Raya Al-Suhel; Simmerjyot Gill; Stephen Robson; Bruce Shadbolt
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
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:
Created Date:  2009-09-28     Completed Date:  2010-01-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  510-4     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, The Canberra Hospital, Garran, Australian Capital Territory 2606, Australia.
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MeSH Terms
Descriptor/Qualifier:
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

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


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