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Should we abandon Kielland's forceps?

L D Cardozo, D M Gibb, J W Studd

British Medical Journal (Clinical Research Ed.)

|July 30, 1983

Summary

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Kielland

Area of Science:

Obstetrics and Gynecology
Neonatal Outcomes
Instrumental Delivery

Background:

Instrumental delivery is a common obstetric procedure.
Kielland's forceps are a specific type of instrument used in delivery.
Assessing neonatal risks associated with different delivery methods is crucial.

Purpose of the Study:

To evaluate the neonatal risks associated with Kielland's forceps use.
To compare neonatal outcomes between Kielland's forceps, normal delivery, and other instrumental deliveries.
To analyze outcomes in relation to mode of delivery in primigravidas and multigravidas.

Main Methods:

Prospective study of 2708 consecutive deliveries.
Analysis of neonatal outcomes including Apgar scores, intubations, and special care baby unit admissions.

Related Experiment Videos

Comparison of outcomes based on delivery method: Kielland's forceps, normal, non-rotational forceps, and emergency cesarean section.

Main Results:

No significant difference in early neonatal outcomes for babies delivered with Kielland's forceps compared to normal or non-rotational forceps deliveries.
Babies delivered via emergency cesarean section showed a higher incidence of compromised outcomes (low Apgar scores, intubations, special care unit admission).
No stillbirths, neonatal deaths, severe birth trauma, or obvious neonatal morbidity were observed in the Kielland's forceps group.

Conclusions:

Kielland's forceps use is associated with favorable neonatal outcomes, comparable to normal and other instrumental deliveries.
Emergency cesarean section appears to carry higher neonatal risks than instrumental deliveries.
Kielland's forceps can be considered a safe option for instrumental delivery with no increased neonatal risk.