Forceps delivery in modern obstetric practiceBMJ 2004; 328 doi: https://doi.org/10.1136/bmj.328.7451.1302 (Published 27 May 2004) Cite this as: BMJ 2004;328:1302
[As supplied by authors]
w1 Martin JA, Hamilton BE, Ventura SJ, Menacker F, Park MM, Sutton PD. Births: Final Data for 2001. Hyattsville: National Centre for Health Statistics, Division of Vital Statistics, 2002:p1.
w2 American College of Obstetricians and Gynecologists. Evaluation of Cesarean Delivery. Washington DC: ACOG, 2000.
w3 Kozak LJ, Weeks JD. U.S. trends in obstetric procedures, 1990-2000. Birth 2002;29:157-61.
w4 Roberts CL, Algert CS, Carnegie M, Peat B. Operative delivery during labour: trends and predictive factors. Paediatric Perinatal Epidemiology 2002;16:115-23.
w5 Stephenson PA, Bakoula C, Hemminki E, et al. Patterns of use of obstetrical interventions in 12 countries. Paediatic Perinatal Epidemiology 1993;7:45-54.
w6 Poma PA. Vanishing forceps delivery. American Journal Perinatology 1999;16:227-31.
w7 www.show.scot.nhs.uk/isd/sexual_health. Births in Scotland report 2002 (Births 1981-2000) Information and Statistics Division. (18/06/2003)
w8 Meniru GI. An analysis of recent trends in vacuum extraction and forceps delivery in the United Kingdom. British Journal of Obstetrics and Gynaecology 1996;103:168-70.
w9 Brink S. Too posh to push? USnews.com, 2002. http://www.usnews.com/usnews/nycu/health/articles/020805/5csec.htm (18/06/2003)
w10 Matthews TG, Crowley P, Chonga A, McKenna P, C M, O’Regan M. Rising caesarean section rates: a cause for concern? British Journal of Obstetrics and Gynaecology 2003;110:346-349.
w11 Gei AF, Belfort MA. Forceps-assisted vaginal delivery. Obstetrics and Gynecology Clinics of North America 1999;26:345-70.
w12 Johanson R, Newburn M, Macfarlane A. Has the medicalisation of childbirth gone too far? British Medical Journal 2002;324:892-5.
w13 Ransom SB, Studdert DM, Dombrowski MP, Mello MM, Brennan TA. Reduced medicolegal risk by compliance with obstetric clinical pathways: a case-control study. Obstetrics and Gynecology 2003;101:751-5.
w14 Hankins GD, Rowe TF. Operative vaginal delivery - year 2000. American Journal of Obstetrics and Gynecology 1996;175:275-82.
w15 Land R, Parry E, Rane A, Wilson D. Personal preferences of obstetricians towards childbirth. Australian and New Zealand Journal of Obstetrics and Gynaecology 2001;41:249-52.
w16 Ramin SM, Little BB, Gilstrap LCr. Survey of forceps delivery in North America in 1990. Obstetrics and Gynecology 1993;81:307-11.
w17 Gardella C, Taylor M, Benedetti T, Hitti J, Critchlow C. The effect of sequential use of vacuum and forceps for assisted vaginal delivery on neonatal and maternal outcomes. American Journal of Obstetrics and Gynecology 2001;185:896-902.
w18 Liu S, Heaman M, Kramer MS, Demissie K, Wen SW, Marcoux S. Length of hospital stay, obstetric conditions at childbirth, and maternal readmission: a population-based cohort study. American Journal of Obstetrics and Gynecology 2002;187:681-7.
w19 Wen SW, Liu S, Kramer MS, et al. Comparison of maternal and infant outcomes between vacuum extraction and forceps deliveries. American Journal of Epidemiology 2001;153:103-7.
w20 de Leeuw JW, Struijk PC, Vierhout ME, Wallenburg HC. Risk factors for third degree perineal ruptures during delivery. British Journal of Obstetrics and Gynaecology 2001;108:383-7.
w21 Johanson RB, Heycock E, Carter J, Sultan AH, Walklate K, Jones PW. Maternal and child health after assisted vaginal delivery: five-year follow up of a randomised controlled study comparing forceps and ventouse. British Journal of Obstetrics and Gynaecology 1999;106:544-9.
w22 Eason E, Labrecque M, Marcoux S, Mondor M. Anal incontinence after childbirth. Canadian Medical Association Journal 2002;166:326-30.
w23 Farrell SA. Cesarean section versus forceps-assisted vaginal birth: it’s time to include pelvic injury in the risk-benefit equation. Canadian Medical Association Journal 2002;166:337-8.
w24 Jolly J, Walker J, Bhabra K. Subsequent obstetric performance related to primary mode of delivery. British Journal of Obstetrics and Gynaecology 1999;106:227-32.
w25 Chiswick ML, James DK. Kielland’s forceps: association with neonatal morbidity and mortality. British Medical Journal 1979;1:7-8.
w26 Morrell CJ, Spilby H, Stewart P, Walters S, Morgan A. Costs and effectiveness of community postnatal support workers: randomised controlled trial. British Medical Journal 2000;321:593-97.
w27 Small R, Lumley J, Donohue L, Potter A, Waldenstrom U. Randomised controlled trial of midwife led debriefing to reduce maternal depression after operative childbirth. British Medical Journal 2000;321:1043-47.
w28 Lavender T, Walkinshaw SA. Can midwives reduce postpartum psychological morbidity? A randomised trial. Birth 1998;25:215-21.
My own experience was distressing, more for the fact that it was a long drawn out process that no one had warned me about. After being two weeks’ overdue, I was induced with prostin gels. This lasted two days until finally my cervix opened up to admit a finger and to allow artificial rupture of the membranes. After this I had an epidural, and labour progressed till I was supposedly 10 cm dilated. After a few unsuccessful pushes and a midwife shift change, it became obvious that the baby wasn’t coming out and there some meconium staining and fetal distress. It transpired that I wasn’t fully dilated, and in view of the other features, the doctor advised an emergency caesarean section. I burst into tears as I hadn’t prepared myself for this at all. I had skipped all the caesarean section pages in the information book I had been reading, so I was more than a little bit scared—for the baby more than for myself. However from the time they told me I needed the caesarean section to when the baby was delivered was certainly no more than half an hour, and the caesarean section itself was probably the best part of the ordeal.
My post operative course was pretty good. I healed quickly and well, with no complications—possibly quicker than I would have healed had it been a "natural" birth. I blame the midwife who did the antenatal classes at the hospital; she never prepared us for even the remotest possibility of a caesarean section. She just kept going on about natural childbirth. Some of my friends has a more realistic view of what lay ahead. My main concern is that I was so unprepared.
Mitra Khaki, first time mother
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