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Re: Forces upon forceps application From: Dr Eberhard W Lisse (el@lisse.na) Sun Nov 23 05:40:38 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Forces upon forceps application" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Forces upon forceps application" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Forces upon forceps application" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Forces upon forceps application" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Forces upon forceps application" Reply: Raymond Stephen: "Re: Forces upon forceps application" Baloney? That's a tiny retrospective study looking predominantly at either vacuum or forceps and had only 17 where both was done. And I just found a Cochrane review saying "Use of the vacuum extractor for assisted vaginal delivery when compared to forceps delivery was associated with significantly less maternal trauma (odds ratio 0.41, 95% confidence interval 0.33 to 0.50) and with less general and regional anaesthesia. There were more deliveries with vacuum extraction (odds ratio 1.69, 95% confidence interval 1.31 to 2.19). Fewer caesarean sections were carried out in the vacuum extractor group. However the vacuum extractor was associated with an increase in neonatal cephalhaematomata and retinal haemorrhages. Serious neonatal injury was uncommon with either instrument." I also note a typo, I meant to write "I was taught" instead of "I was told" "that a failed vacuum means a C/S". Now I am not wishing to start the 53rd Annual Men of Steel Debate ("We Don't Need No Stinking Evidence..."), but saying "Forceps is an Art and Therefor Must be Preserved" is plain nonsense. Especially when those proposing it practice in modern, well equipped and staffed centres where they can do a C/S on very short notice. greetings, el On 23 Nov 2008, at 13:42 , Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > I don't have evidence but I was told that a failed vacuum means >>> a C/S and *NEVER* a forceps. > > Baloney the best review on this subject was from Knox Ritichie/ Dan > farine at Mount Siani in Toronto about a decade ago, basically makes > no > difference, but the big qualifier was to be able to go to c-section > quickly. > > -- > Take care, John > -- Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar) el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell) PO Box 8421 \ / Please send DNS/NA-NiC related e-mail Bachbrecht, Namibia ;____/ to dns-admin@na-nic.com.na Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Forces upon forceps application" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Forces upon forceps application" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Forces upon forceps application" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Forces upon forceps application" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Forces upon forceps application" Reply: Raymond Stephen: "Re: Forces upon forceps application"

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