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Re: Can anyone identify the forceps? From: art fougner, md (evsono@pipeline.com) Wed Jul 26 08:18:41 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: simon: "Re: LASIK" Previous message: Susan James: "Re: FRI Incisional Endometriosis" In reply to: Betsy Hyde: "Re: Triplets - delivered" no prob - 2: Am J Obstet Gynecol 1999 Nov;181(5 Pt 1):1185-7 Rotational versus nonrotational forceps: maternal and neonatal outcomes. Feldman DM, Borgida AF, Sauer F, Rodis JF Department of Obstetrics and Gynecology, New Britain General Hospital, Connecticut, USA. OBJECTIVE: Our purpose was to evaluate maternal and neonatal morbidity associated with rotations performed with Leff forceps in comparison with nonrotational forceps deliveries. STUDY DESIGN: A review of 267 rotational and nonrotational forceps deliveries from August 1996 through February 1998 was performed. Multiple maternal and neonatal outcome measures were compared and results were analyzed by chi(2) with the Fisher exact test and the Student t test. RESULTS: One hundred sixty-three traditional low-forceps or outlet forceps deliveries were compared with 104 rotational forceps deliveries performed with Leff forceps. There were no significant differences between the 2 groups in maternal age, gestational age, gravidity, parity, total labor duration, birth weight, and Apgar scores. There were significantly lower rates of episiotomy, third- and fourth-degree lacerations, and sulcus lacerations in the rotation group, and the second stage of labor was also shorter. The neonatal intensive care unit admission rate was higher in the rotation group; however, none of the admissions were directly related to the mode of delivery. CONCLUSION: Rotational deliveries performed with Leff forceps are associated with less maternal morbidity and shorter second stage of labor than are deliveries performed with traditional forceps. Leff forceps are a safe option for rotation of the persistent occipitoposterior fetal position. art At Tue, 25 Jul 2000, Braun, R. Daniel wrote: > > Do you have a reference, where I can read more about Leff's?? > >Dan > >-----Original Message----- >From: evsono@pipeline.com >To: Multiple recipients of list OB-GYN-L >Sent: 7/25/00 11:16 AM >Subject: Re: Can anyone identify the forceps? > >Leff forceps - designed purely for rotation and not extraction. > >art > >At Tue, 25 Jul 2000, Braun, R. Daniel wrote: >> >>Obviously, I have never seen a Gigli saw. And now I own one. >>We still don't have a good answer for the forceps. Wow if this list >can't >>identify them with certainty, they must be someones personal >modification >>that never caught on. >> >>Dan >> >>R. Daniel Braun, MD FACOG >>Clinical Professor >>Department of Obstetrics and Gynecology >>Indiana U. School of Medicine >>Indianapolis, IN 46202 >> >>OBGYN.net >>International Representative for United States >> >>Certified AllExperts Expert >>Check out my bio/ratings page! >>http://www.allexperts.com/displayExpert.asp?Expert=1236 >> >>-----Original Message----- >>From: Gibbons, John [mailto:JGibbons@stfranciscare.org] >>Sent: Tuesday, July 25, 2000 7:50 AM >>To: Multiple recipients of list OB-GYN-L >>Subject: Re: Can anyone identify the forceps? >> >> I agree that the device at the end is a Gigli saw, but I suspect >its >>intended use in that obstetrical era was symphisiotomy. >> >> John Gibbons >>> ---------- >>> >>> At Mon, 24 Jul 2000, Braun, R. Daniel wrote: >>> > >>> >Can anyone identify the forceps in this photo at URL >>> >ftp://ftp.obgyn.net/pub/OB-GYN-L/surgicaltools1.jpg ? They look like >an >>> >Elliott with a French lock and then they have that little device on >the >>> end >>> >of the handles. I found them on e-bay and just bought this lot of >>> instruments. >>> > >>> >I think the device on the right end with the wire is a decapitation >>> device. >>> >Does anybody know for sure what it is? These will go in the Braun >>> >Obstetrical History Museum. >>> > >>> >Dan >>> > >>> >-- >>> >R. Daniel Braun, MD FACOG >>> >Clinical Professor >>> >Department of Obstetrics and Gynecology >>> >Indiana U. School of Medicine >>> >Indianapolis, IN 46202 >>> >OBGYN.net International Representative for United States >>> > >>> >Certified AllExperts Expert >>> >Check out my bio/ratings page! >>> >http://www.allexperts.com/displayExpert.asp?Expert=1236 >>> > >>> >>> -- >>> art fougner, md >>> >>> A series of 1000 cases begins with but a single anecdote. >>> >-- >art fougner, md > >A series of 1000 cases begins with but a single anecdote. > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: simon: "Re: LASIK" Previous message: Susan James: "Re: FRI Incisional Endometriosis" In reply to: Betsy Hyde: "Re: Triplets - delivered"

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