[The use of forceps delivery in own analysis].

OBJECTIVES

The clinical analysis of deliveries ended by forceps over the period of ten years.

DESIGN

Review of perinatal outcome and indications to use outlet and low forceps or midforceps.

MATERIALS AND

METHODS

Author analysed 137 forceps deliveries in comparison to control group of 250 normal, vaginal labours. Obstetrical history, indications to use vaginal operation, duration of labour, hospitalisation time, newborns state in Apgar score or arterial cord pH, PaO2, and fetal or maternal injures were statistically analysed. The American College of Obstetricians and Gynecologists (ACOG) 1988 forceps classification be adopted for deliveries. Using outlet, low forceps and midforceps concerned with vaginal operation.

RESULTS

The common indications to use outlet or low forceps were prolonged second stage of labour. The most frequent indication for the midforceps was a risk of fetal asphyxia and neonatal hypoxia. A major fetal injury occurred in midforceps, particularly with fetal head rotations. Furthermore, midforceps delivery increased incidence of maternal perineal trauma. The outlet or low forceps was safe for fetal outcome and trauma of the birth canal in comparison to normal vaginal delivery.

CONCLUSIONS

The prophylactic use of outlet or low forceps has beneficial impact on the neonate because it shortens second stage of labour and decreased the incidence of neonatal hypoxia. The midforceps delivery increased a perinatal disorders and using cesarean section are better for child and mother.