Document Detail

Rotational delivery with Kielland's forceps.
MedLine Citation:
PMID:  3626909     Owner:  NLM     Status:  MEDLINE    
A retrospective study over 15 months showed that 10.7% of primigravid women and 1.6% of multigravid women were delivered by Kielland's forceps: a total of 145 babies. The successful vaginal delivery rate for attempted Kielland's forceps was 96.7%. The neonatal outcome was good and there were no perinatal deaths. Traumatic injuries were present in 7.6% of babies and were minor. The data show that even in the presence of fetal distress, Kielland's forceps can be safely employed for rotational delivery from the mid-pelvic cavity. This approach can avoid some caesarean sections without undue risk to the baby, the caesarean rate being 9.5%. As 10.7% of primigravid women required rotational delivery with Kielland's forceps, it is desirable that primigravid women should be cared for by obstetricians who are skilled in the use of the instrument, in order to maintain a low caesarean section rate in this group, with a good neonatal outcome.
S L Chow; C M Johnson; T D Anderson; J H Hughes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  146     ISSN:  0025-729X     ISO Abbreviation:  Med. J. Aust.     Publication Date:  1987 Jun 
Date Detail:
Created Date:  1987-09-30     Completed Date:  1987-09-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  616-9     Citation Subset:  IM    
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MeSH Terms
Apgar Score
Birth Injuries / epidemiology,  mortality
Delivery, Obstetric / instrumentation*,  methods
Fetal Distress / epidemiology,  mortality
Infant, Newborn
Labor Presentation
Labor Stage, Second
Obstetrical Forceps* / adverse effects
Retrospective Studies
Time Factors

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

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