Kielland’s rotational forceps delivery: comparison of maternal and neonatal outcomes with pregnancies delivering by non-rotational forceps

Journal article


Giacchino, Tara, Karkia, Rebecca, Zhang, W., Ahmed, Hasib and Akolekar, Ranjit 2021. Kielland’s rotational forceps delivery: comparison of maternal and neonatal outcomes with pregnancies delivering by non-rotational forceps. Journal of Obstetrics and Gynaecology. https://doi.org/10.1080/01443615.2021.1907557
AuthorsGiacchino, Tara, Karkia, Rebecca, Zhang, W., Ahmed, Hasib and Akolekar, Ranjit
Abstract

We compared complications in pregnancies that had Kielland’s rotational forceps delivery (KRFD) with non-rotational forceps delivery (NRFD). Maternal outcomes included post-partum haemorrhage (PPH) and obstetric anal sphincter injury (OASIS); neonatal outcomes included admission to neonatal intensive care unit (NICU), 5-minute Apgar scores <7, hypoxic ischaemic encephalopathy (HIE), jaundice, shoulder dystocia and birth trauma. The study population included 491 (2.1%) requiring KRFD, 1,257 (5.3%) requiring NRFD and 22,111 (93.0%) that had SVD. In pregnancies with NRFD compared to KRFD, there was higher incidence of OASIS (8.5% vs. 4.7%; p = .006) and a non-significant increased trend for PPH (15.0% vs. 12.4%; p = .173). There was no significant difference in rates of admission to NICU (p = .628), 5-minute Apgar score <7 (p = .375), HIE (p = .532), jaundice (p = .809), severe shoulder dystocia (p = .507) or birth trauma (p = .514). Our study demonstrates that KRFD has lower rates of maternal complications compared to NRFD whilst the rates of neonatal complications are similar.

KeywordsObstetrics and gynaecology; Forceps delivery; Fetal malposition; Kielland's forceps; Non-rotational forceps delivery; Pregnancy complications; Rotational forceps delivery
Year2021
JournalJournal of Obstetrics and Gynaecology
PublisherInforma UK Limited
ISSN0144-3615
1364-6893
Digital Object Identifier (DOI)https://doi.org/10.1080/01443615.2021.1907557
Official URLhttps://doi.org/10.1080/01443615.2021.1907557
FunderCanterbury Christ Church University
Publication dates
Online25 May 2021
Publication process dates
Deposited03 Jun 2021
Output statusPublished
Page range1-6
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