Obstetrical Forceps: Purpose, Types, and Clinical Use

코멘트 · 12 견해

Obstetrical Forceps: Purpose, Types, and Clinical Use

 

Obstetrical forceps are specialized medical instruments used during childbirth to assist in the delivery of a baby when complications arise in the second stage of labor. Designed to gently guide the baby’s head through the birth canal, forceps help reduce maternal and fetal risks when used by trained healthcare professionals.


What Are Obstetrical Forceps?

Obstetrical forceps are curved, tong-like instruments made of high-grade surgical stainless steel. Each forceps consists of two blades designed to fit around the baby’s head, a lock to join the blades, and handles for controlled traction.

They are used only when vaginal delivery is deemed safe but requires assistance due to prolonged labor, maternal exhaustion, or fetal distress.


Common Indications for Forceps Delivery

Obstetrical forceps may be used when:

  • Labor is prolonged in the second stage

  • The mother is unable to push effectively

  • Fetal heart rate patterns indicate distress

  • The baby’s head is in a favorable position but delivery is delayed

  • Medical conditions require shortening the pushing phase


Types of Obstetrical Forceps

Different forceps are designed for specific clinical situations:

  • Simpson Forceps – Used for elongated fetal heads

  • Elliot Forceps – Suitable for rounder fetal heads

  • Kielland Forceps – Used for rotational deliveries

  • Wrigley Forceps – Short forceps for low or outlet deliveries

  • Piper Forceps – Designed for breech deliveries

Each type ensures precision, safety, and controlled traction.


Material and Design Features

High-quality obstetrical forceps are:

  • Made from medical-grade stainless steel

  • Rust-resistant and corrosion-free

  • Autoclavable and reusable

  • Ergonomically designed for firm grip and control

  • Smooth-finished to reduce tissue trauma


Benefits of Using Obstetrical Forceps

✔ Assists vaginal delivery safely
✔ Reduces need for emergency cesarean sections
✔ Enables controlled delivery in fetal distress
✔ Preserves maternal pushing energy
✔ Time-efficient in critical situations


Risks and Considerations

When improperly used, forceps can cause complications such as maternal tissue injury or neonatal bruising. Therefore, forceps delivery should only be performed by skilled obstetricians with proper training and experience.


Conclusion

Obstetrical forceps remain an essential tool in modern obstetrics when used appropriately and skillfully. With correct patient selection and expert handling, forceps-assisted delivery can be a safe and effective alternative to surgical intervention, ensuring optimal outcomes for both mother and baby.

코멘트