Skip to main content Accessibility help
×
Home
Hostname: page-component-684899dbb8-662rr Total loading time: 0.545 Render date: 2022-05-26T05:26:37.691Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true }

Chapter 6 - Rotational forceps

Published online by Cambridge University Press:  05 June 2014

George Attilakos
Affiliation:
University College Hospital, London
Tim Draycott
Affiliation:
University of Bristol
Alison Gale
Affiliation:
Lancashire Teaching Hospitals NHS Trust
Dimitrios Siassakos
Affiliation:
University of Bristol
Cathy Winter
Affiliation:
Practical Obstetric Multi-Professional Training (PROMPT) Maternity Foundation
Get access

Summary

Rotational forceps are an instrument that every labour ward specialist should be experienced with. Rotational forceps are the instrument par excellence for the occipito-posterior (OP) position. Most cases in which the fetus is found to be in a transverse position are attributable to a failure to rotate, generally as a result of an epidural block that has altered the muscular component of the rotational mechanism. Asynclitism is the oblique presentation of the fetal head in labour, and is important in the context of Kielland's forceps as it is corrected by the sliding lock on the instrument. The modern obstetrician should be able to assess a clinical situation and then decide which instrument is best suited to effect a safe birth. It is essential that Kielland's forceps are used only by obstetricians with the necessary training and experience.
Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×