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Soft forceps.

D F Roshan1, B Petrikovsky, L Sichinava

  • 1NYU School of Medicine, Tisch Hospital, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, NYU Program for Maternal-Fetal Medicine, New York, NY 10016, USA. roshad01@med.nyu.edu

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|March 1, 2005
PubMed
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Soft forceps may reduce neonatal facial injuries during delivery. This study compared soft forceps to regular forceps, finding lower rates of abrasion and bruising with the modified instrument.

Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Care
  • Surgical Instrumentation

Background:

  • Rising rates of cesarean sections and declining forceps-assisted deliveries due to concerns over maternal and fetal trauma.
  • Fear of litigation influencing obstetric practice, particularly in the United States.

Purpose of the Study:

  • To evaluate the safety and efficacy of "soft" forceps, featuring gas-sterilized blades with a soft rubber coating.
  • To compare the incidence of fetal injury between soft forceps and regular forceps during low forceps delivery.

Main Methods:

  • A randomized controlled trial involving 96 women requiring forceps-assisted delivery.
  • Participants were allocated to either the regular forceps group (51 women) or the soft forceps group (45 women).
  • All deliveries utilized a Simpson instrument for low forceps application, with fetal injury as the primary outcome measure.

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Main Results:

  • The soft forceps group exhibited significantly lower rates of severe facial abrasion (1.9% vs. 4.1%) compared to the regular forceps group.
  • Minimal skin marking rates were also reduced in the soft forceps group (34% vs. 61%).

Conclusions:

  • Soft forceps demonstrate potential in reducing neonatal facial abrasions and skin bruises during delivery.
  • Further refinement of soft forceps and vacuum extractors is recommended to maintain their role in obstetric practice.