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PubMed1996

[Forceps delivery--obstetric indications and outcome].

Authors analysed 170 forceps delivery in comparison to the control group of normal vaginal delivery. We analysed mothers age, obstetrical history, gestational age and duration of labour as well as traumatization, loss of blood and hospitalisation time. Analysed concerned as well the newborns state in the Apgar score its delivery way and newborn injuries. The most frequent indication for the forceps delivery was the imminent foetal asphyxia. The second stage of delivery lasted significantly longer, the blood lost was greater and the hospitalisation prolonged. Newborns presented poorer after-delivery condition measured in the Apgar score.

Adult↗
PubMed1998

["An appropriate forceps"--150-year anniversary of Simpson's forceps].

Despite the increasing use of caesarean section and vacuum extraction, obstetric forceps is still in frequent use in obstetric wards. There has, in fact, been an increase due to more active management of births. More than 600 obstetric forceps have been described in detail, but only three of them are in use in Norway today: Simpson's and Kielland's forceps for vertex presentation and Piper's forceps for aftercoming head in breech presentation. This year it is 150 years since James Young Simpson (1811-70) of Edinburgh presented his forceps for the first time. Simpson's forceps has been the most widely used forceps in Norway over the last 120 years. This article describes James Young Simpson, his long forceps, and its use in Norwegian obstetrics.

Female↗
PubMed1957

THE BARTON forceps.

Explore the source record for details and available documents.

Obstetrical Forceps↗
PubMed1975

[About the choice of extraction instrument for vaginal operative termination in vertex presentation (author's transl)].

The common separation of indications at the First University Clinic for Obstetrics and Gynecology in Vienna concerning the choice of extraction instrument in cases of operative termination of vaginal delivery out of vertex position is being demonstrated. When there is only a slight increase of resistance in the delivery mechanism, when the child is mature, when there is no attitude of deflexion, and where there is no real reason for a speedy termination of delivery, the vacuum extractor comes into use. In cases of child emergency, of considerable increase of delivery mechanism resistance, of immaturity and attitude of deflexion, an extraction by means of obstetrical forceps is performed. Out of 547 deliveries terminated by means of extraction the sub- and postpartal mortality amounted to 2,19%. The number of prematures (7,5%) in this material did not differ from the total delivery material of the clinic. After forceps extraction 5 out of 419 children (2,8%) died. After vacuum extraction one child out of 105 (0,95%) died. In 23 cases where obstetrical forceps had to be used after vacuum extraction 2 children died (8,7%). The morbidity of the children was measured by means of the Apgar Score and of the injury frequency. Here the two extraction methods showed no significant differencies. The combined application of both extraction instruments however, showed an increase of morbidity. Injuries of the mother were almost exclusively found after forceps extraction.

Apgar Score↗
PubMed2003

[A watershed in Norwegian obstetrics].

BACKGROUND: Professional obstetrics in Norway developed during the 19th century. This paper analyses the development through the second half of the 19th century at the Maternity Clinic in Christiania (now Oslo). MATERIAL AND METHODS: All patient files from the years 1852, 1872 and 1892, a total of 1231 records, were analysed. Socio-demographic and gynaecologic data were registered as well as data about the delivery and the child. RESULTS: The number of deliveries increased nearly five times during the period. The proportion of married women increased from less than 20% to nearly 50%. Maternal mortality decreased from above 3% to below 1%, mostly because childbed fever became infrequent. The number of operative deliveries increased substantially, particularly the use of the obstetric forceps, in 1892 utilised in 6 % of deliveries. In the reviews published in those days, eclampsia and reduced contractions were the most frequently cited indications for the use of the obstetric forceps. Problems with the heart sound of the fetus were not mentioned. However, patient files demonstrate that a weak or missing heart sound of the fetus was also an important indication for the use of the forceps. INTERPRETATION: Giving birth at the clinic was gradually becoming an alternative for other than poor women, because it was safer than before and in some cases the obstetricians could offer effective help. However, at the end of the 19th century, not more than about 15% of all deliveries took place at the clinic. This paper demonstrates the importance of scrutinising patient files as a supplement to register data, as is the case today, too.

Adult↗
PubMed1976

[Frequency of obstetrical operations and perinatal mortality before and after admission of continuous fetal monitoring (author's transl)].

Two groups of obstetrical patients were statistically analyzed with a computer. The first group A (2339 deliveries, January 1967-June 1968) was controlled by conservative obstetrical methods, the second group B (2512 deliveries, January 1973-June 1974) was controlled by continuous monitoring of fetal heart rate and by analysis of fetal blood during labour. The results of the statistical analysis can be summarized: 1. The frequency of obstetrical operations (vacuum, obstetrical forceps, Caesarean section) increases from 12.8% (group A) to 22.5% (group B). 2. The percentage of Caesarean sections decided on for the sake of the child rose from 45.7% (group A) to 54.7% (group B). 3. Vital indications fell due to increasingly preventive obstetrics from 54.3% to 45.3%. 4. The frequency of Caesarean sections rose due to increasing indication "absolute or relative pelvic disproportion" of the mediterranean patients. 5. However the analysis of fetal blood during labour and the continuous monitoring of fetal heart rate has prevented a further increase of Caesarean sections. 6. The increasing percentage of obstetric forceps was due to our intention of preventing prolonged labour. 7. Maternal mortality after operative delivery reached 0.04% in group A and 0% in group B. 8. Perinatal mortality of children, delivered by operation, has decreased from 3.0% (group A) to 0,7% (group B). 9. The Apgar scores after operative deliveries were much better in group B (continuous fetal monitoring) than in group A (without fetal monitoring).

Apgar Score↗