Traumatic Intracranial Haemorrhage in Firstborn Infants and Delivery With Obstetric Forceps

O’Driscoll, Kieran; Meagher, Declan; MacDonald, Dermot; Geoghegan, Frank

doi:10.1111/j.1471-0528.1981.tb01211.x

Cited by 77 publications

(7 citation statements)

References 3 publications

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“…Kielland's rotational forceps delivery (KRFD) is a safe management option for persistent fetal malposition in the second stage of labour, and is associated with a lower rate of PPH compared with NRFD and second‐stage CS, a lower rate of neonatal birth trauma compared with RVD and a lower rate of 5‐min APGAR score < 7 compared with second‐stage CS. The decline in the use of rotational forceps deliveries is primarily linked to the reported association with neonatal complications based on small case studies published decades ago 8,22 . It is important for senior obstetricians and trainees to be aware of the safety of KRFD as a management option when faced with persistent fetal malposition in the second stage of labour.…”

Section: Discussionmentioning

confidence: 99%

Maternal and neonatal complications following Kielland's rotational forceps delivery: A systematic review and meta‐analysis

Giacchino

Karkia

Ahmed

et al. 2023

BJOG

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Malposition in labour is a term used to describe a fetus in a cephalic presentation with the fetal occiput in a transverse (OT) or posterior (OP) position, in relation to the maternal spine. 1 If the position remains OT or OP at the end of the active phase of the second stage of labour, persistent fetal malposition (PFM) is diagnosed. There are essentially four management options for PFM: Kielland's rotational forceps delivery (KFRD); rotational

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Section: Discussionmentioning

confidence: 99%

Maternal and neonatal complications following Kielland's rotational forceps delivery: A systematic review and meta‐analysis

Giacchino

Karkia

Ahmed

et al. 2023

BJOG

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“…This high operative vaginal rate should not be taken lightly, because these operations, even in the hands of skilled obstetricians, have their risks 15 . They are also associated with adverse neonatal effects 16,17 and increased maternal, psychological and physical trauma such as vaginal lacerations and rectovaginal fistulae.…”

Section: Discussionmentioning

confidence: 99%

Update on Some Aspects of the Use of Epidural Analgesia in Labour

Okojie

Cook

1999

Int J Clinical Practice

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SUMMARYThe aim of the study was to investigate the effect of epidural analgesia on blood pressure, duration of the second stage and mode of delivery. In a prospective controlled study carried out in a district general hospital, 122 parturients made up the study population; 81 had epidural blocks and 41 had other forms of analgesia during labour. Data were collated using questionnaires within 48 hours of delivery: 58/81 (71.6%) of those who chose epidural were Primigravidae compared with 14/41 (34%) in the non‐epidural group (p<0.001). During labour, minimum diastolic blood pressure was significantly lower in the epidural group: 65.8 versus 72.4 mmHg (p=0.003). Mean duration of the second stage of labour was significantly longer in the epidural group: 108.3 versus 41.6 minutes (p<0.0001); 28/81 (34.6%) of the epidural group had operative vaginal deliveries compared with 6/41 (14.6%) of the non‐epidural group (p=0.0004). Epidural analgesia provides an effective form of pain relief in labour, which has a particularly strong appeal to Primigravidae. It has a hypotensive effect which can be put to beneficial effect in hypertensive disease of pregnancy, but is significantly associated with a lengthened second stage of labour, resulting in an increased operative vaginal delivery rate.

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“…Der Beckenausgangsforceps zur Abkiirzung der Austreibungsphase wird allgemein als Schutzmal3nahme gegenfiber dem Auftreten von Himbluttmgen empfohlen (Shaver, 1992). Wenn auch diese zur Entlasttmg des kindlichen K6pfchens gedachten Mal3nahmen aufgrund pathophysiologischer 0berlegungen durchaus sinnvoll sind, so daft nicht iibersehen werden, dab es auch kritische Stimmen gibt (Barrett, 1983;Schwartz, 1983;O'Driscoll, 1981;Platek, 1993) und prospektiv randomisierte Studien zum Nachweis des Nutzeffekts in der Regel fehlen.…”

Section: Die Schonende Vaginale Geburtunclassified