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Updated: May 26, 2026
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
[Failed forceps extraction: risk factors and maternal and neonatal morbidity]
A Langeron1, G Mercier, C Chauleur
1Département de gynécologie-obstétrique et médecine de la reproduction, hôpital Nord, CHU de Saint-Étienne, avenue Albert-Raimond, Saint-Étienne, France.
Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|January 10, 2012
Summary
Failed forceps delivery is linked to high fetal station, occipito-posterior position, and large fetal head size. Maternal and neonatal outcomes were similar between failed and successful forceps deliveries.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
Background:
- Instrumental vaginal delivery, including forceps, is a common obstetric procedure.
- Failed forceps delivery can lead to increased maternal and neonatal complications.
Purpose of the Study:
- To identify risk factors associated with failed forceps delivery.
- To compare maternal and neonatal morbidity in failed versus successful forceps deliveries.
Main Methods:
- Retrospective case-control study.
- Analysis of failed forceps delivery cases (January 2005-June 2008).
- Comparison with a cohort of successful forceps deliveries.
Main Results:
- The rate of failed forceps extraction was 4.4%.
- Significant risk factors included fetal station above S+2 (OR=43.03), occipito-posterior position (OR=34.64), and biparietal diameter >95mm (OR=10.74).
- Maternal and neonatal morbidity was low in both failed and successful forceps groups.
Conclusions:
- Accurate diagnosis of fetal presentation and station is crucial before attempting forceps delivery.
- Caution is advised for "trial of forceps" when cesarean delivery may be necessary.
- Vacuum extraction may be a preferable alternative for occipito-posterior positions.
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