Forceps Delivery

  • Mitral valve stenosis patient benefit by having a forceps-assisted vaginal delivery at the time of delivery
  • Infant showing asymmetric Moro reflex involving the right arm, cynosis & labored respiration with decreased breath sounds in the right chest post low forceps delivery may be due to Ipsilateral paralysis of the diaphragm 
  • Retinal hemorrhage, intracranial hemorrhage and subgaleal hemorrhage are more common in ventouse delivery than forceps
  • Less maternal trauma by vacuum as compared with forceps
  • Cephalohematoma is more common with vacuum extraction
Forceps delivery is indicated in
  1. Face presentation
  2. Occipitoposterior
  3. After warming head in breech
  4. Prolonged second stage of labor
  • In a case of prolonged labour, fetal occiput fails to spontaneously rotate anteriorly and caused persistent occiput posterior presentation. The recommended management is Manual or forceps rotation followed by forceps delivery
  • The after coming head of breech chin to pubes is delivered by Manual rotation and extraction by Piper's forceps
  • For delivery of the after- coming head in breech presentation Kielland's foceps, Das's variety forceps & Mauriceau smellie, veit technique are used
  • In face presentation, outlet forceps delivery can be accomplished successfully in Right mento-anterior & Direct anterior positions 
  • Keilland's forceps facilitates correction of asynclitism of head
  • The most important point of reference in the use of forceps is Station of biparietal diameter
  • Head engaged and reached the pelvic floor can be treated using Outlet forceps
  • Outlet forceps delivery is safest in maternal heart disease
  • Prerequisite for applying forceps are
  1. Aftercoming head of breech
  2. there should be no CPD
  3. Foetal head should be engaged 
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