Re: Fundal Pressure

From: Dr. Rupak Ranjan Roy (rupakroy1@dataone.in)
Fri Mar 3 06:27:02 2006


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Not only that.... Wrigley's forceps do not have a pelvic curve.

So, you should only apply it for only the simplest of lift-outs (and at caesareans if required) where the direction of pull should be first towards you and then up....unlike the long curved forceps where you first pull down, then towards you and finally up. I never use Wrigley's even for a lift out because an inadvertent pull downward can cause fairly bad posterior vaginal wall tears.

They are however useful at caesareans.

Dr. Rupak Ranjan Roy MRCOG

>----- Original Message -----
From: RModugno@aol.com To: Multiple recipients of list OB-GYN-L Sent: Friday, March 03, 2006 7:56 AM Subject: Re: Fundal Pressure

In a message dated 3/2/2006 6:42:57 A.M. Eastern Standard Time, stephen.raymond@dhhs.tas.gov.au writes: No, Wrigley's are a very short handled forceps with all the same characteristics as Neville-Barnes except for the short shanks and handles. Often called "lift-out forceps". Ideal for Caesars because of their size.

Steve

Similar to a baby Simpson's in our neck of the woods - but not exactly the same - I believe the Wrigley's handles are shorter.

Robert Modugno MD MBA FACOG Marietta, GA

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Not only that.... Wrigley's forceps do not have a pelvic curve.
 
So, you should only apply it for only the simplest of lift-outs (and at caesareans if required) where the direction of pull should be first towards you and then up....unlike the long curved forceps where you first pull down, then towards you and finally up.
I never use Wrigley's even for a lift out because an inadvertent pull downward can cause fairly bad posterior vaginal wall tears.
 
They are however useful at caesareans.
 
Dr. Rupak Ranjan Roy
MRCOG
 
>
----- Original Message -----
Sent: Friday, March 03, 2006 7:56 AM
Subject: Re: Fundal Pressure

In a message dated 3/2/2006 6:42:57 A.M. Eastern Standard Time, stephen.raymond@dhhs.tas.gov.au writes:
No, Wrigley's are a very short handled forceps with all the same
characteristics as Neville-Barnes except for the short shanks and
handles.  Often called "lift-out forceps".  Ideal for Caesars because of
their size.

Steve
Similar to a baby Simpson's in our neck of the woods - but not exactly the same - I believe the Wrigley's handles are shorter.
 
Robert Modugno MD MBA FACOG
Marietta, GA
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