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2015 ; 2015
(ä): 483195
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English Wikipedia
Naegele Forceps Delivery and Association between Morbidity and the Number of
Forceps Traction Applications: A Retrospective Study
#MMPMID26425369
Matsumoto N
; Takenaka T
; Ikeda N
; Yazaki S
; Sato Y
J Pregnancy
2015[]; 2015
(ä): 483195
PMID26425369
show ga
OBJECTIVE: To present the method of Naegele forceps delivery clinically practiced
by the lead author, its success rate, and morbidity and to evaluate the
relationship between morbidity and the number of forceps traction applications.
METHODS: Naegele forceps delivery was performed when the fetal head reached
station +2?cm, the forceps were applied in the maternal pelvic application, and
traction was slowly and gently performed. In the past two years, Naegele forceps
delivery was attempted by the lead author in 87 cases, which were retrospectively
reviewed. RESULTS: The numbers of traction applications were one in 64.7% of
cases, two in 24.7%, and three or more in 10.7%. The success rate was 100%. No
severe morbidity was observed in mothers or neonates. Neonatal facial injury
occurred most commonly in cases with fetal head malrotation, elevated numbers of
traction applications, and maternal complications. Umbilical artery acidemia most
commonly occurred in cases with nonreassuring fetal status. The significant crude
odds ratio for three or more traction applications was 20 in cases with
malrotation. CONCLUSION: Naegele forceps delivery has a high success rate, but
multiple traction applications will sometimes be required, particularly in cases
with malrotation. Malrotation and elevated numbers of traction applications may
lead to neonatal head damage.
|*Obstetric Labor Complications
[MESH]
|Adult
[MESH]
|Birth Injuries/*etiology
[MESH]
|Extraction, Obstetrical/*adverse effects
[MESH]
|Female
[MESH]
|Fetal Distress
[MESH]
|Humans
[MESH]
|Infant, Newborn
[MESH]
|Japan
[MESH]
|Morbidity
[MESH]
|Obstetrical Forceps/*statistics & numerical data
[MESH]