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Failed instrumental delivery: Ramathibodi Hospital, 1980-1988
1Department of Obstetrics and Gynaecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Abstract:
All cases (70) of failed instrumental deliveries which occurred between 1980 and 1988 at Ramathibodi Hospital, Bangkok, Thailand were critically reviewed. The incidence of failure was 0.5%, and failure occurred more often in primigravidae. Failure to appreciate the true level of the fetal head and too early intervention accounted for failure in 50% of the cases. Failed instrumental delivery can be minimized if the prerequisites for the procedure are strictly adhered to.