ROLE OF INSTRUMENT DELIVERY IN MODERN OBSTETRICS

WE ALL KNOW SECOND STAGE LSCS
COMPLICATIONS ARE

  • Extension of uterine incision
  • PPH
  • Infection
  • Scar pregnancy
  • Placenta acreta

RATE OF INSTRUMENTAL DELIVERY DECLINED IN RECENT YEAR

  • No proper training
  • Easy availability and acceptability for LSCS
  • Fear of complications and litigation

PREREQUISITES OF INSTRUMENTAL DELIVERY ARE :-

  • Cervix fully dilated
  • Membranes ruptured
  •  Fetal head engaged 
  • Station of head
  •  CPD to be ruled out 
  • Empty bladder 
  • Informed consent 
  • Ready for LSCS if it fails

OUTLET FORCEPS IN MODERN OBSTETRICS SHOULD BE APPLIED WHEN HEAD IS VISIBLE AT INTROIT US

LOW FORCEPS APPLIED AT VERTEX STATION +2 OR LOW

COMPLICATIONS OF INSTRUMENTAL DELIVERIES ARE:-

  • Extension of RMLE And vaginal tears – no long term impairment of genital function
  • Anal tears
  • Cephalhematoma if vaccum more than 15 min
  • Subgaleal hematoma… if vacuum cup wrongly applied

Operative vaginal delivery comparable to second stage LSCS for neonatal outcome. 

Long term outcome of neonates born by operative vaginal delivery comparable to FTNVD.

LSCS better than trial of operative vaginal delivery for Fetal distress.

 

DR. MEENAKSHI SHARMA  

DR. MANJU KHEMANI                

DR. SHARDA JAIN

 


 

HQ: 11 Gagan Vihar Near Karkari Morh

Flyover Delhi 51

 (M) 9650511339, 8826638849

D.G.F. has a become a bench marks for doctors

training quality clinical meetings

& community service

 

Leave a Reply

Your email address will not be published.