Re: Forces upon forceps application

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Sat Nov 22 16:04:47 2008


El:

You're right, and I was very cautious and thought about the situation before proceeding.

She was ROA +3 and I felt it would deliver vaginally. I was quite surprised when I did not achieve any station with the first vacuum pull. I then switched and it was relatively easy. Perhaps my vector was wrong on the vacuum, or my application not as good as it should have been.

Garry

At Sat, 22 Nov 2008, Dr Eberhard W Lisse wrote: >
>Forceps after failed Vacuum (for a high head)?
>
>Dr Cochrane will not be helping...
>
>el
>
>On 22 Nov 2008, at 18:58 , Garry E. Siegel, M.D. wrote:
>
>> Dr. Simpson and Luikhart (combined effort) helped me yesterday AM
>> after
>> a vacuum didn't achieve any station with a pull.
>>
>> My instinct was to start with the forceps but the patient put a bit of
>> pressure on me to try the Omni Cup first.
>>
>> As one of my mentors said, if he had to practice Ob on a desert island
>> with only one set of forceps, it would be a set of Kiellands!
>>
>> Garry
>>
>> At Fri, 21 Nov 2008, Andrew Folley wrote:
>>>
>>> Welcome to the "dying art of forceps delivery". Residents today
>>> bluntly state they will never use forceps on a woman.
>>> In one more generation forceps will be relegated to the
>>> hospital museum in the basement. Personally I can not
>>> imagine practicing OB without having comfort in forceps use
>>> and vagian breech delivery. andy

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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