Re: Fewer failed Forceps

From: Andrew Folley (agfolley@hotmail.com)
Thu Jan 4 11:58:26 2007


My advice to those in the early years of forceps learning is to stick to the basics. Always know ftal position and relation of fetal skull to ischial spines.

>From: rmodugno@aol.com
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Fewer failed Forceps
>Date: Wed, 3 Jan 2007 19:10:50 -0600
>
>>From Dr Bruce Flamm's article in the recent OB/Gyn News:
>
>Fewer failed forceps
>
>"Dr. John J. Paterson of Beloit, Wis., has coined a simple phrase that may
>help avoid bad outcomes when performing vacuum and forceps deliveries.
>“If when mom pushes there is no crown, then put the vacuum or forceps
>down.” Of course, this is not technically correct. Depending on the
>circumstances, instrumented delivery may be appropriate even if there is no
>crowning as long as the fetal head is engaged. However, this little rhyme
>is worth thinking about and may keep you and your patient out of trouble.
>If you cannot see the presenting vertex without inserting your fingers into
>the vagina, think twice about attempting an instrumented delivery."
>
>Any comments?
>
>Robert Modugno MD MBA FACOG
>Sylva, NC

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