Outlet Forceps in Modern Era – Study Of 50  Cases–Clinical Observation Study

Dr. Vandana K Saini; Dr. Kishor D Kawad; Dr. Neha Gohel

Volume : II, Issue : IV, April - 2013

Outlet Forceps in Modern Era – Study Of 50 Cases–Clinical Observation Study

Dr. Vandana K Saini, Dr. Kishor D Kawad, Dr. Neha Gohel

Abstract :

A clinical observational study on outlet forceps delivery using Wrigley�s forceps was done on 50 patients with singleton pregnancy without gross cephalopelvic disproportion and with station >+2 in relation to ischial spine. The study was carried out as the classification guidelines in ACOG 2002. Out of the 50 cases, 76% were Primipara. In present study incidence of outlet forceps delivery was 0.73%. Fetal distress(22%), prolonged 2ndstage of labour and maternal distress(16%) were the most common indication of outlet forceps. Prophylactic forceps were used in previous LSCS(2%), severe pre-eclampsia and eclampsia(18%), Heart disease(4%), anemia(10%) and asthma(2%). Impression marks and aasion over face of baby were present in 14% and only 4% cephalhematoma and a single baby expired due to early neonatal septicemia. 6% had perineal tear, 10% had vaginal tear, 4% had paraurethral and 8% had extended episiotomy. Maternal complications like Atonic PPH occurred in 1 case, UTI in 4 cases, 2 cases of episiotomy wound infection and single case with urinary incontinence. On skilled hand outlet forceps is instrument of great convenience in form of reducing maternal efforts and fetal morbidity and to cut short 2ndstage of labour in high risk pregnancies. The ACOG(2001) recommends forceps delivery as an acceptable and safe option for delivery