Tuesday, 18 February 2014

Type of Forceps

Outlet, low, mid or high
The accepted clinical standard classification system for forceps deliveries according to station and rotation was developed by ACOG and consists of:

Outlet forceps delivery, where the forceps are applied when the fetal head has reached the perineal floor and its scalp is visible between contractions.[8] This type of assisted delivery is performed only when the fetal head is in a straight forward or backward vertex position or in slight rotation (less than 45 degrees to the right or left) from one of these positions.[9]
Low forceps delivery, when the baby's head is at +2 station or lower. There is no restriction on rotation for this type of delivery.[9]
Midforceps delivery, when the baby's head is above +2 station. There must be head engagement before it can be carried out.[9]
High forceps delivery is not performed in modern obstetrics practice. It would be a forceps-assisted vaginal delivery performed when the baby's head is not yet engaged.[9]

No comments:

Post a comment