Tatalaksana Penggunaan Forceps pada Posisi Oksiput Posterior Persisten

Maternal health is the health of women during pregnancy, childbirth and the postnatal period. World Health Organization (WHO) record every day in 2017 about 810 women died from preventable causes related to pregnancy and childbirth. Between 2000-2017, the maternal mortality ratio dropped by about 38% worldwide, but 4% of all maternal deaths occur in low and lower middle-income countries. Persistent occiput posterior (OP) is associated with increased rates of maternal and newborn morbidity. Cesarean delivery is higher (3 times greater risk of death) maternal morbidity and mortality than vaginal delivery and also costs more than normal childbirth. Forceps extraction is one of the operative obstetric actions that aims to help childbirth through normal childbirth. This is done for all conditions that threaten the mother and fetus that have indications to undergo childbirth. the use of forceps techniques, will assure successful, safe, and steady performance of forced delivery. Therefore, obstetric forceps should be inherited of skills to the trainee at this time. Therefore, it is reasonable for the standards establishing the proper position for forceps delivery to vary between experienced and inexperienced operators. The first priority is safe and secure implementation of the procedure.

Vacuum extractor in the fight against intra- and postnatal fetal mortality

The introduction of obstetric forceps into practice did not satisfy obstetricians, since their use can cause severe damage to the birth canal and the head of the fetus, even if the head is located in the wide part or in the exit of the small pelvis, not to mention the imposition of high forceps, which is dangerous for both the mother and for the fetus.

How do pregnant women’s perceptions of obstetric forceps change according to their demographic background: a cross sectional study

Background Women’s attitudes towards obstetric forceps likely contribute to declining use and opportunities for residency training, but formal documentation of women’s attitudes towards obstetric forceps is currently limited. A clearer understanding should help guide our attempts to preserve its use in modern obstetrics and to improve residency training. Our objective is to document women’s attitudes towards obstetric forceps and the influence basic demographic variables have on those attitudes. Methods A cross sectional study was performed. We developed a one-time anonymous structured 5-question survey that was given to all women with low-risk pregnancies presenting to our medical center for prenatal care between October 2018–December 2018. The questionnaire asked for the woman’s self-reported age, race, education level and insurance type. The five questions were as follows: (1) Do you think forceps should be used to deliver babies, (2) Is forceps safe for the baby, (3) Is forceps safe for the mother, (4) Do you think forceps can help to lower the cesarean section rate, (5) Do you think physicians in training should learn to place forceps on a real patient. We calculated means and proportions for the responses according to the overall group and various subgroups. Statistical analysis included Kruskall-Wallis or Mann-Whitney tests as appropriate. Results were also adjusted by regression using a Generalized Linear Model. Power calculation showed sample size of 384 was required. Results A total of 499 women returned the questionnaire. Response rate was 56.8% (499/878). The findings suggest that women’s perceptions towards forceps are generally negative. Women with white ethnicity, college education or higher and private insurance did have more favorable views than their counterparts, but the majority still had unfavorable views. Age was not shown to have a significant effect on maternal attitude. Conclusion Women’s views towards forceps use in the University of Kansas Medical Center are negative and may be contributing to the decline of its use. Improving women’s perceptions of forceps would require multiple different strategies rather than a single focused easily-implemented message. If forceps training continues, such training will rely on a minority of women who will accept forceps use in childbirth.

A successful delivery of giant bladder stone by obstetric forceps: a case report

Giant bladder stone is a rare phenomenon. Surgical treatment which involves open vesicolithotomy and delivery of the bladder stone is usually straightforward. Herein, we report a 69-year-old gentleman with a neglected giant bladder stone complicated by obstructive uropathy and acute renal failure. After medical condition was stabilized, he underwent open vesicolithotomy. At surgery, delivery of the giant bladder stone was difficult both manually and with stone forceps. The stone was later delivered successfully by Wrigley’s obstetrics forceps. We report this case to highlight the rare cause of acute renal failure and the use of obstetrics forceps in the management of giant bladder stones.

A new modification of obstetric tongs

Since the invention of obstetric forceps by Chamberlen and Palfyn, this instrument has undergone numerous modifications. Due to the different arrangement of the individual parts of the instrument and their various combinations, the number of varieties has increased greatly and reached 300 too. However, this diversity is only apparent. Leaving aside the various details of the device and secondary features that are not of great importance for the essence of the heart, we half-mean only a few types of forceps, differing mainly in the curvature of the spoons, in the structure of the lock, in the mutual relation of the two (intersecting and parallel). Each of these types has its own advantages.

About tongs

Mm. Yy! In the quality of an old practitioner-obstetrician, I will allow myself to occupy your attention at this moment with a purely obstetric question. In obstetrics, as well as in medicine in general, each approach, each theory is modified over time; from excessive enthusiasm they go to oblivion and vice versa. Such a fate befell one of the most common and useful obstetric instruments - forceps. There was a time when they were carried away. Oziander the Elder applied them almost at every birth; then his son and Stein limited their use; Outside, the obstetric forceps were indicated in the appropriate place, they were used more or less by one or another obstetrician.

A few notes about obstetric forceps

It is known that in order to judge the merits or demerits of one or another medical instrument, it is necessary to accurately formulate the requirements that are imposed on it and then decide how much it satisfies these requirements.

How do demographic variables affect pregnant women’s perceptions of obstetrics forceps: a cross sectional study

Background Women’s attitudes towards obstetric forceps likely contribute to declining use and opportunities for residency training, but formal documentation of women’s attitudes towards obstetric forceps is currently limited. A clearer understanding should help guide our attempts to preserve its use in modern obstetrics and to improve residency training. Our objective is to document women’s attitudes towards obstetric forceps and the influence basic demographic variables have on those attitudes. Methods A cross sectional study was performed. We developed a one-time anonymous structured 5-question survey that was given to all low-risk patients presenting to our medical center for prenatal care between October 2018 - December 2018. The questionnaire asked for the patient’s self-reported age, race, education level, and insurance type. The five questions were as follows: (1) Do you think forceps should be use to deliver babies, (2) Are forceps safe for the baby, (3) Are forceps safe for the mother, (4) Do you think forceps can help to lower the cesarean section rate, (5) Do you think training physicians should learn to place forceps on a live-model. We calculated the means and proportions for the responses according to the overall group and various subgroups. Statistical analysis included Kruskall Wallis, Mann-Whitney tests as appropriate. Results were also adjusted by regression using a Generalized Linear Model. The power calculation showed the sample size required was 384. Results A total of 499 patients returned the questionnaire. The response rate was 56.8% (499/878). The findings suggest that patient perceptions towards forceps are generally negative. Women with white ethnicity, college education or higher, and private insurance did have more favorable views than their counterparts, but the majority still had unfavorable views. Age was not shown to have a significant effect on maternal attitude. Conclusion Women’s views towards forcep use at the University of Kansas Medical Center are negative and may be contributing to the decline of forcep use. Improving patient perception of forceps would require multiple different strategies rather than a single focused easily-implemented message. If forceps training continues, such training will rely on a minority of women who will accept forceps use in their delivery.