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https://emedicine.medscape.com/article/1848372-overview
Apr 11, 2017 · The following are contraindications to forceps-assisted vaginal deliveries: Any contraindication to vaginal delivery (see Normal Labor and Delivery) Inability to obtain adequate verbal consent. A cervix that is not fully dilated or retracted. Inability to determine the presentation and fetal head position.
https://elearning.rcog.org.uk/forceps-and-ventouse/ventouse-delivery/contraindications
Specific contraindications for the use of a vacuum extraction include: fetal position undetermined; face presentation; breech (only forceps is permitted for aftercoming head) inability to achieve a proper application of cup; prematurity. There is a risk of cephalhematoma, sub-galeal and intracranial haemorrhage less than 32 weeks.
https://www.ncbi.nlm.nih.gov/books/NBK538220/
Despite the increased efficacy compared to the vacuum, forceps use is still on the decline. Some speculate that this downward trend is due to fear of litigation related to common complications of forceps delivery, including increased risk of perineal laceration and injury to the newborn.
https://www.healthhype.com/forceps-delivery-types-procedure-complications-video.html
Forceps delivery is a form of assisted delivery or operative delivery where active measures are taken to accomplish vaginal delivery by means of an instrument known as the obstetric forceps. Simply, the forceps are used to help with the delivery of the baby through the vagina.
https://teachmeobgyn.com/labour/delivery/operative-vaginal/
An operative vaginal delivery (OVD) is defined as the use of an instrument to aid delivery of the fetus In the UK, operative vaginal delivery rates have remained stable at 12-13%; yielding safe and satisfying outcomes for the majority of the women and babies [ RCOG, 2011 ]. In this article,...4.8/5
https://www1.cgmh.org.tw/intr/intr5/c6700/OBGYN/f/web/Forcep%20Delivery/index.htm
In expert hands, fetal malpositions, including the after-coming head in breech vaginal delivery, can be indications for forceps delivery. Prerequisites for forceps delivery include the following: The head must be engaged. The cervix must be fully dilated and retracted. The position of the head must be known. The type of pelvis should be known.
https://www.uptodate.com/contents/procedure-for-vacuum-assisted-operative-vaginal-delivery
Contraindications — Suspected fetal-pelvic disproportion is a contraindication to any instrumental vaginal delivery. Historically, experts have recommended avoiding use of vacuum devices to assist delivery before 34 weeks of gestation due to a perceived increased risk of birth injuries in …
https://www.ranzcog.edu.au/RANZCOG_SITE/media/RANZCOG-MEDIA/Women%27s%20Health/Statement%20and%20guidelines/Clinical-Obstetrics/Instrumental-Vaginal-Birth-(C-Obs-16)-Review-March-2016.pdf?ext=.pdf
Fetal bleeding disorders (e.g. alloimmune thrombocytopenia) or a predisposition to fracture (e.g. osteogenesis imperfecta) are relative contraindications to instrumental vaginal birth. Vacuum delivery should not be used for a face presentation, or at a gestation less than 34 weeks.File Size: 566KB
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