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https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_26.pdf
fewer rotational or mid-cavity operative interventions when pushing was delayed for 1 to 2 hours or until they had a strong urge to push.18 There is insufficient evidence to support the hypothesis that discontinuing epidural analgesia reduces the incidence of operative vaginal delivery (23% versus 28%; RR 0.84; 95% CI 0.61–1.15),
https://elearning.rcog.org.uk/easi-resource/forceps/types-forceps/low-or-mid-cavity-forceps
Low or mid-cavity forceps are used when: the fetal head is one-fifth palpable per abdomen; the leading point of the skull is above station plus 2 cm but not above the ischial spines
https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.12398
Introduction. Mid‐cavity rotational operative vaginal delivery (ROVD) is a complex procedure. The commonly used techniques are direct traction forceps or vacuum extraction after manual rotation of the fetal head, rotational vacuum extraction, and the use of rotational forceps such as Kielland forceps.Author: R Bahl, M Van de Venne, M Macleod, B Strachan, DJ Murphy
https://clinicalgate.com/operative-delivery/
Introduction. The phrase ‘operative delivery’ is used to describe both instrumental vaginal delivery and caesarean section. It may be indicated to expedite delivery in the presence of fetal distress, or for ‘delay’ or failed progress, despite good contractions and maternal effort.
https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/1471-0528.12398
Keywords Mid-cavity, morbidity, operative vaginal delivery, prospective cohort study, rotational. Please cite this paper as: Bahl R, Van de Venne M, Macleod M, Strachan B, Murphy DJ. Maternal and neonatal morbidity in relation to the instrument used for mid-cavity rotational operative vaginal delivery: a prospective cohort study.Author: R Bahl, M Van de Venne, M Macleod, B Strachan, DJ Murphy
https://fn.bmj.com/content/97/Suppl_1/A90.3
Apr 01, 2012 · Introduction Various instruments are available to assist a mid-cavity delivery requiring rotation of the fetal head. There is a lack of robust evidence comparing maternal and neonatal morbidity associated with the use of these instruments. Objective To compare the maternal and neonatal morbidity associated with instrument use to assist a mid-cavity rotational delivery. Study design A ...Author: MV Venne, R Bahl, M MacLeod, BK Strachan, DJ Murphy
https://www.sciencedirect.com/science/article/pii/S1521693419300082
R. Bahl, M. Van de Venne, M. Macleod, B. Strachan, D.J. MurphyMaternal and neonatal morbidity in relation to the instrument used for mid-cavity rotational operative vaginal delivery: a …Author: Mairead Black, Deirdre J. Murphy
https://quizlet.com/44161126/operative-vaginal-delivery-flash-cards/
Operative vaginal delivery rates have remained stable at between 10% and 13% in the UK. there has been a growing awareness of the short term and long-term morbidity of pelvic floor injury as well as neurodevelopmental outcomes for children following operative vaginal delivery.
https://www.networks.nhs.uk/nhs-networks/staffordshire-shropshire-and-black-country/documents/Operative%20Vaginal%20Delivery%202013.pdf
acceptable to complete a delivery with outlet forceps Attempt when it is very likely that a vaginal delivery will be successful (e.g. good descent of head in the perineum and detachment of Ventouse cup) When to abandon operative vaginal delivery When there is no evidence of progressive descent with each pull, or where delivery is not
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