Rotational application of leff forceps.
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Cervix Uteri↗
Biomedical subjects
C Dyack
Publications and source records attributed to C Dyack.
Vaginal delivery in the grand multipara following previous lower segment cesarian section.
OBJECTIVE: To examine the effect of attempting vaginal birth after cesarian section in the grand multipara with one previous cesarian section scar in the uterus. METHOD: Over 5-year period (1990-1994) mothers with 6 or more previous deliveries and with a previous section scar in the uterus were identified. The outcome in these patients who attempted vaginal birth was reviewed. RESULTS: Of the 85 patients with the combination of both grand multiparity and a previous cesarian section scar in the uterus, 45 attempted a trial of labor. Twenty-seven patients (60%) achieved successful uncomplicated vaginal delivery. There was a relatively high incidence of serious complications. CONCLUSION: Vaginal birth after cesarian section can be achieved in some grand multiparas with a previous scar in the uterus. There is an increased risk of serious complications. The labor should be very closely supervised and early intervention arranged if there is not smooth rapid progress.
Cesarean Section↗
Vaginal birth after cesarean section in the grand multipara with a previous lower segment scar.
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Cicatrix↗
Rotational forceps in midforceps delivery.
A series of consecutive midforceps rotations performed using purely rotational forceps is anslyzed. Leff forceps were designed to make forceps application less difficult and rotation less traumatic to mother and fetus. In many cases, rotation was done under local anesthesia and delivery was completely by traction with Simpson or outlet forceps. Cesarean section was done in 4 cases in which easy rotation and delivery were not possible.
Birth Injuries↗