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Re: Forceps--was Full dilatationFrom: Len2976@aol.comThu Dec 4 05:08:48 2003
Thankfully when I had my first child while in graduate school (some 20 years ago), I was at a major Air Force Medical Center (with OB Residency). They had a C/S rate of 8.5% at that time, and once an OB staff had examined a patient and determined the pelvis was adequate, C/Ss were rarely done for FTP. After a long labor, which included a 6 hr. active phase arrest and a 2 1/2 hr. 2nd stage, I was thankful to be offered a trial at a mid forceps delivery rather than a C/S. Obstetricians (one of whom I later worked with) left this facility skillful at performing both mid forceps and vaginal breech deliveries. My daughter weighed 6#, 7oz. I'm sure there would be few places today that I would not have had a C/S due to the medical legal issues. A few years ago I worked with an obstetrician who told me he did three forceps deliveries and no vacumes during his entire residency! Needless to say the patients either delivered spontaneously or had a C/S even when the head was +3. I later delivered a son who weighed 8#, 2oz after a 5 hr labor with a 20 min. 2nd stage which made me even more grateful that I delivered in a facility where the OB staff and chief residents were skilled at forceps. Lenora McCall, CNM
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