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Chapter 6 - Rotational forceps

Published online by Cambridge University Press:  05 June 2014

By
Karl SJ Oláh
Edited by
George Attilakos ,
Tim Draycott ,
Alison Gale ,
Dimitrios Siassakos  and
Cathy Winter
George Attilakos
Affiliation:
University College Hospital, London
Tim Draycott
Affiliation:
University of Bristol
Alison Gale
Affiliation:
Lancashire Teaching Hospitals NHS Trust
Dimitrios Siassakos
Affiliation:
University of Bristol
Cathy Winter
Affiliation:
Practical Obstetric Multi-Professional Training (PROMPT) Maternity Foundation
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Summary

Rotational forceps are an instrument that every labour ward specialist should be experienced with. Rotational forceps are the instrument par excellence for the occipito-posterior (OP) position. Most cases in which the fetus is found to be in a transverse position are attributable to a failure to rotate, generally as a result of an epidural block that has altered the muscular component of the rotational mechanism. Asynclitism is the oblique presentation of the fetal head in labour, and is important in the context of Kielland's forceps as it is corrected by the sliding lock on the instrument. The modern obstetrician should be able to assess a clinical situation and then decide which instrument is best suited to effect a safe birth. It is essential that Kielland's forceps are used only by obstetricians with the necessary training and experience.
Type
Chapter
Information
ROBuST: RCOG Operative Birth Simulation Training
Course Manual
 , pp. 83 - 94
Publisher: Cambridge University Press
Print publication year: 2013

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