Instrumental Delivery Flashcards
What methods of instrumental delivery are available?
Ventouse
Forceps
What is a ventouse delivery?
Suction cup applied over the fetal head
Traction applied to the cup
What are risks of ventouse delivery?
Cephalhaematoma = blood between skull + periosteum
Lower success
What is a forceps delivery?
Forceps applied to fetal head
Traction applies during contractions
What are risks of forceps delivery?
Fetal facial nerve damage
Bruising
What are indications for instrumental delivery?
Failure to progress
Maternal exhaustion
Fetal compromise
Clinical concerns
What are contraindications to instrumental delivery?
Unengaged head
Incomplete cervical dilatation
Breech presentation
What are pre-requisites for instrumental delivery?
Fully dilated Ruptured membranes Cephalic presentation Fetal head at level of ischial spines Empty bladder Adequate pain relief
What are maternal complications of instrumental delivery?
Vaginal tears PPH Incontinence Nerve injury - femoral - obturator
What are fetal complications of instrumental delivery?
Cephalohaematoma
Facial nerve palsy
Subgaleal haemorrhage
Skull fracture
