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Operative vaginal delivery - An historical perspective
1Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, Nova Scotia, Canada.
Best Practice & Research. Clinical Obstetrics & Gynaecology
|September 27, 2018
Summary
Obstetric forceps and vacuum-assisted delivery have evolved significantly over centuries. Modern advancements in these assisted delivery methods offer improved fetal outcomes in cephalic presentations.
Area of Science:
- Obstetrics and Gynecology
- Medical History
- Surgical Instruments
Background:
- Review of pre-instrumental delivery options.
- Historical context of operative vaginal delivery.
Observation:
- The evolution of obstetric forceps from the 17th century, including key innovations like the pelvic curve and axis-traction.
- The development of vacuum-assisted delivery, with a focus on the modern era initiated by Malmström's extractor in the 1950s.
Findings:
- Chronological overview of forceps design modifications and their impact.
- Examination of the progression of vacuum extractor cup materials (metal, soft, hard plastic).
- Discussion of the prophylactic forceps delivery phase.
Implications:
- Understanding the historical trajectory of assisted delivery techniques informs current obstetric practice.
- Appreciation of technological advancements in forceps and vacuum extractors for fetal delivery.
- Provides a foundation for future innovations in operative vaginal delivery.
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