Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-29T07:40:57.943Z Has data issue: false hasContentIssue false

Chapter 5 - Non-Rotational forceps and Manual Rotation

Published online by Cambridge University Press:  06 June 2024

George Attilakos
Affiliation:
University College London
Sharon Jordan
Affiliation:
Southmead Hospital, Bristol
Michele Mohajer
Affiliation:
Shropshire Women and Children’s Centre
Glen Mola
Affiliation:
University of Papua New Guinea
Stephen O'Brien
Affiliation:
University of Bristol
Dimitrios Siassakos
Affiliation:
University College London
Get access

Summary

Assisted vaginal birth (AVB) is to expedite birth for the benefit of the mother, baby or both whilst minimising maternal and neonatal morbidity. Forceps, ventouse (or ‘vacuum’) delivery and manual rotation (usually completed with non-rotational forceps) are the most common methods used in the UK. In the UK, operative delivery rates have varied between 10 and 15% (England 12.7% and Scotland 12.1% – data for 2021) but rates vary significantly across European countries (median 7.2%; range 2.1% [Slovakia] to 15.1% [Ireland and Spain] – data for 2015).

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2024

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Murphy, DJ, Strachan, BK, Bahl, R, on behalf of the Royal College of Obstetricians Gynaecologists. Assisted Vaginal Birth (Greentop Guideline No 26). BJOG 2020; 127(9): e70-e112. doi.org/10.1111/1471–0528.16092Google Scholar
Public Health Scotland. Births in Scottish Hospitals (year ending March 2021). Published online November 2021. Accessed 20 Sept 2022. www.publichealthscotland.scot/media/10489/2021-11-30-births-report.pdfGoogle Scholar
Europeristat. European Perinatal Health Report 2015. Published online 26 November 2018. Accessed 20 Sept 2022. www.europeristat.com/index.php/reports/european-perinatal-health-report-2015.htmlGoogle Scholar
Boucoiran, I, Valerio, L, Bafghi, A, Delotte, J, Bongain, A. Spatula-assisted deliveries: a large cohort of 1065 cases. Eur J Obstet Gynecol Reprod Biol. 2010; 151(1):4651.Google ScholarPubMed
Verma, GL, Spalding, JJ, Wilkinson, MD et al. Instruments for assisted vaginal birth. Cochrane Database of Systematic Reviews 2021, Issue 9. Art. No.: CD005455. https://doi.org/10.1002/14651858.CD005455.pub3Google ScholarPubMed
Alexander, JM, Leveno, KJ, Rouse, DJ et al. Comparison of maternal and infant outcomes from primary cesarean delivery during the second compared with first stage of labor. Obstet Gynecol. 2007; 109(4): 917–21.CrossRefGoogle ScholarPubMed
Yeo, L, Romero, R. Sonographic evaluation in the second stage of labour to improve the assessment of labor progress and its outcome. Ultrasound Obstet Gynecol. 2009; 33(3):253–8.Google ScholarPubMed
Ramphul, M, Kennelly, M, Murphy, DJ. Establishing the accuracy and acceptability of abdominal ultrasound to define the foetal head position in the second stage of labour: a validation study. Eur J Obstet Gynecol Reprod Biol. 2012; 164:3539.CrossRefGoogle ScholarPubMed
Royal College of Obstetricians and Gynaecologists. Information for you – assisted vaginal birth (ventouse or forceps). RCOG, London, April 2020. Accessed Sept 2022. www.rcog.org.uk/media/2p4fh2kd/pi-vaginal-birth-final-28042020.pdfGoogle Scholar
Chan, SW, Tulloch, E, Cooper, ES et al. Montgomery and informed consent: where are we now? BMJ 2017; 357:j2224.Google ScholarPubMed
Royal College of Obstetrics and Gynaecologists. Operative vaginal delivery: consent Advice No.11. July 2010; London: RCOG. Accessed 20 Sept 2022. www.rcog.org.uk/guidance/browse-all-guidance/consent-advice/operative-vaginal-delivery-consent-advice-no-11/Google Scholar
Royal College of Obstetricians and Gynaecologists. Obtaining valid consent. Clinical Governance Advice No. 6. London: RCOG; 2008. Accessed 20 September 2022. www.rcog.org.uk/guidance/browse-all-guidance/clinical-governance-advice/obtaining-valid-consent-clinical-governance-advice-no-6/Google Scholar
Bolton, H. The perils of taking written consent for operative delivery during labour. BJOG 2015; 122(9): 1251. https://doi.org/10.1111/1471-0528.13496Google ScholarPubMed
Bahl, R, Murphy, DJ, Strachan, B. Qualitative analysis by interviews and video recordings to establish the components of a skilled low-cavity non-rotational vacuum delivery. BJOG. 2009; 116(2):319–26.Google ScholarPubMed
Kalis, V, Landsmanova, J, Bednarova, B et al. Evaluation of the incision angle of mediolateral episiotomy at 60 degrees. Int J Gynaecol Obstet. 2011; 112(3):220–4.CrossRefGoogle ScholarPubMed
Knight, M, Chiocchia, V, Partlett, C et al. ANODE collaborative group. Prophylactic antibiotics in the prevention of infection after operative vaginal delivery (ANODE): a multicentre randomised controlled trial. Lancet. 2019; 393(10189):23952403. DOI: 10.1016/S0140-6736(19)30773-1Google Scholar
Siassakos, D, Clark, J, Sibanda, T et al. A simple tool to measure patient perceptions of operative birth. BJOG 2009; DOI: 10.1111/j.1471-0528.2009.02363.x.Google Scholar
O’, Brien, S, Jordan, S, Siassakos, D. The role of manual rotation in avoiding and managing OVD. Best Pract Res: Clin Obstet Gynaecol 2019; 56: 6980. https://doi.org/10.1016/j.bpobgyn.2018.12.001Google Scholar
UK-ARCOG, Tempest, N. ReDEFINe (Rotational DElivery at Full dIlatatioN): a national prospective service evaluation of deliveries complicated by malposition in the second stage. BJOG 2017; 124 (Supp 5): 28. Accessed 20 Sept 2022. http://ukarcog.org/wp-content/uploads/2018/01/ReDEFINe-facts-and-figures-poster.pdfGoogle Scholar
Vayssie, C, Beucher, G, Dupuis, O et al. Instrumental delivery: clinical practice guidelines from the French College of Gynaecologists and Obstetricians. Eur J Obstet Gynecol Reprod Biol. 20111; 159:43–8.Google Scholar
Reichman, O, Gdansky, E, Latinsky, B, Labi, S, Samueloff, A. Digital rotation from occipito-posterior to occipito-anterior decreases the need for caesarean section. Eur J Obstet Gynecol Reprod Biol. 2008; 136:25–8.CrossRefGoogle Scholar
Bertholdt, C, Morel, O, Zuily, S, Ambroise-Grandjean, G. Manual rotation of occiput posterior or transverse positions: a systematic review and meta-analysis of randomized controlled trials. Am J Obstet Gynecol. 2022 ; 226(6):781–93. doi: https://doi.org/10.1016/j.ajog.2021.11.033 Epub 2021 Nov 17. PMID: 34800396.Google ScholarPubMed
Phipps, H, Hyett, JA, Kuah, S et al. Persistent occiput posterior position outcomes following manual rotation: a randomized controlled trial. Am J Obstet Gynecol MFM. 2021 ;3(2):100306. doi: https://doi.org/10.1016/j.ajogmf.2021.100306 Epub 2021 Jan 6. PMID: 33418103.Google ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×