forceps Flashcards
indications for forceps?
Forceps
Indications for a forceps delivery include
fetal distress in the second stage of labour
maternal distress in the second stage of labour
failure to progress in the second stage of labour
control of head in breech deliver
requirements forceps delivery? use forceps mnemonic
The requirements for instrumental delivery can be easily remembered by the mnemonic FORCEPS:
Fully dilated cervix generally the second stage of labour must have been reached
OA position preferably OP delivery is possible with Keillands forceps and ventouse. The position of the head must be known as incorrect placement of forceps or ventouse could lead to maternal or fetal trauma and failure
Ruptured Membranes
Cephalic presentation
Engaged presenting part i.e. head at or below ischial spines the head must not be palpable abdominally
Pain relief
Sphincter (bladder) empty this will usually require catheterization
N.B. There must also be a clear indication for instrumental delivery
A 29-year-old lady is in labour with her first child. However, during the second stage, fetal distress is identified and instrumental delivery considered. Which of the following would be a contraindication to this procedure?
Bladder empty
Cephalic presentation
Cervix fully dilated
Head palpable abdominally
Ruptured membranes
Head palpable abdominally
nstrumental delivery allows the use of traction if delivery needs to be expedited during the second stage of labour to prevent fetal and maternal morbidity. Common indications include a prolonged active second stage, maternal exhaustion, fetal distress, breech presentation and prophylactic use in medical conditions e.g. cardiovascular disease, hypertension. It can also be used to rotate a malpositioned fetal head.
The requirements for instrumental delivery can be easily remembered by the mnemonic FORCEPS:
Fully dilated cervix generally the second stage of labour must have been reached
OA position preferably OP delivery is possible with Keillands forceps and ventouse. The position of the head must be known as incorrect placement of forceps or ventouse could lead to maternal or fetal trauma and failure
Ruptured Membranes
Cephalic presentation
Engaged presenting part i.e. head at or below ischial spines the head must not be palpable abdominally
Pain relief
Sphincter (bladder) empty this will usually require catheterization
N.B. There must also be a clear indication for instrumental delivery
