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Forceps births, like all assisted births, should only be undertaken to help promote the health of the mother or baby. In general, a forceps birth is likely to be safer for both the mother and baby than the alternatives – either a ventouse birth or a caesarean section – although caveats such as operator skill apply.
Therefore, close monitoring of a newborn infant is prompted with a minimum of eight hour observation for all infants delivered by vacuum extractions or forceps deliveries. [11] A subgaleal hemorrhage may initially look like a caput succedaneum or a chignon because blood crosses the suture lines for all three conditions. [6]
The use of this instrument for operative vaginal delivery dates back to the 1600's. Throughout history, over 700 types of forceps have been reinvented and gone through modifications to make sure forceps are safe in operative vaginal delivery. [28] Half of first-time mothers had forceps-assisted deliveries in the 1960s. [5]
Vacuum extraction (VE), also known as ventouse, is a method to assist delivery of a baby using a vacuum device. It is used in the second stage of labor if it has not progressed adequately. It may be an alternative to a forceps delivery and caesarean section. It cannot be used when the baby is in the breech position or for premature births.
Most bleeding takes place from the angles of the incision, and forceps can be applied to control it. Green Armytage forceps are specifically designed for this purpose. [3] Although the incision is made using a sharp scalpel, care must be taken not to injure the foetus, especially if the membranes are ruptured, or in emergencies like abruption ...
During the baby boom, DeLee's prophylactic forceps approach found new life. Busy physicians were often eager to adopt this systematic approach to anesthetized delivery because its efficiency allowed them to care for more patients. [10] By 1968, nearly 40% of the babies born in U.S. hospitals were delivered with forceps. [17]
Caput succedaneum is a benign neonatal condition involving a serosanguinous (containing blood and serum), subcutaneous, extra-periosteal fluid collection with poorly defined margins caused by the pressure on the presenting part of the fetal scalp by the vaginal walls and uterus as the infant passes through a narrowed cervix during delivery.
However, a skilled midwife or obstetrician a complication-free vaginal birth may be achievable through movement and positioning of the mother, and patience and allowing the baby to move through the pelvis and moulding of the skull during the birthing process. Other options include the use of vacuum-assisted delivery and forceps.