Purpose Of Review: The use of Kielland's forceps has declined significantly in the last three decades. There is a lack of quality evidence on potential benefits and harms associated with using these forceps. We have performed a systematic review of the literature and meta-analysis to assess the safety and efficacy of using Kielland's forceps.
Recent Findings: We have searched electronic databases for all clinical studies reporting primary data on using Kielland's forceps and assessed their risk of bias using the Newcastle-Ottawa Scale. We have pooled the event rate of adverse outcomes reported following the use of Kielland's forceps including a direct comparison to rotational ventouse. In total we included 23 studies. Direct comparison meta-analysis revealed higher failure rate with rotational ventouse compared with Kielland's. There was no statistically significant difference in the risk of adverse maternal outcomes between the two groups. There was higher risk of neonatal trauma in the ventouse group, but no significant difference in other neonatal outcomes.
Summary: Kielland's forceps have a high success rate with relatively low adverse outcomes despite their use being controversial. In comparison to rotational ventouse, Kielland's forceps have higher efficacy with less risk of neonatal trauma.
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Rotational Forceps: Which technique is superior for blade insertion? A simulation study comparing direct, first posterior, and wandering maneuvers.
Eur J Obstet Gynecol Reprod Biol
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Department of Obstetrics, Hospital Universitario La Paz, Madrid, Spain; School of medicine. Universidad Autónoma de Madrid, Spain.
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A national survey of clinicians' opinions of rotational vaginal births.
Eur J Obstet Gynecol Reprod Biol
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EGA Institute for Women's Health, University College London, 84-86 Chenies Mews, London WC1E 6HU, United Kingdom; University College Hospitals NHS Foundation Trust, EGA Wing, 25 Grafton Way, London WC1E 6DB, United Kingdom.
Introduction: Malposition of the fetal head, defined as occiput transverse or posterior positions, occurs in approximately 5% of births. At full cervical dilatation, fetal malposition is associated with an increased risk of rotational vaginal birth. There are three different rotational methods: manual rotation, rotational ventouse or rotational (Kielland's) forceps.
View Article and Find Full Text PDFCorrelative analysis of different treatments of persistent occipitotransverse position on the outcome for mother and infant.
J Obstet Gynaecol Res
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Department of Obstetrics, The First People's Hospital of Longquanyi District, Chengdu, Sichuan, China.
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Department of Obstetrics, Hospital Universitario La Paz, Madrid, Spain.
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Eur J Obstet Gynecol Reprod Biol
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Study Design: With ethical approval, pre- and post- course questionnaires and post- course interviews of attendees were conducted.
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