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A continuing use for Kielland's forceps?

A I Traub, R J Morrow, J W Ritchie

    British Journal of Obstetrics and Gynaecology
    |September 1, 1984
    PubMed
    Summary
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    Kielland

    Area of Science:

    • Obstetrics and Gynecology
    • Neonatal Medicine
    • Surgical Outcomes

    Background:

    • Second-stage labor complications necessitate delivery interventions.
    • Cesarean section and instrumental delivery are common interventions.
    • Comparing neonatal outcomes of different delivery methods is crucial for clinical practice.

    Purpose of the Study:

    • To compare neonatal outcomes between Kielland's forceps delivery and cesarean section during the second stage of labor.
    • To evaluate the safety of Kielland's forceps, including cases of attempted but failed delivery.

    Main Methods:

    • Retrospective study design.
    • Analysis of neonatal outcomes for 253 deliveries over a 5-year period.
    • Comparison of outcomes between Kielland's forceps and cesarean section.

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    Main Results:

    • No significant differences in Apgar scores between the two groups.
    • Similar rates of active resuscitation, jaundice, and abnormal neurological behavior.
    • Neonatal outcomes were comparable even when Kielland's forceps delivery was attempted but unsuccessful.

    Conclusions:

    • Kielland's forceps delivery is associated with comparable neonatal outcomes to cesarean section in the second stage of labor.
    • The findings support the continued use of Kielland's forceps in contemporary obstetrics.
    • Instrumental delivery with Kielland's forceps appears safe for neonates when indicated.