Naegele Forceps Delivery and Association between Morbidity and the Number of Forceps Traction Applications: A Retrospective Study
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 hea...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2015/483195 |
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| _version_ | 1832562883963125760 |
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| author | Naoki Matsumoto Toshifumi Takenaka Nobuyuki Ikeda Satoshi Yazaki Yuichi Sato |
| author_facet | Naoki Matsumoto Toshifumi Takenaka Nobuyuki Ikeda Satoshi Yazaki Yuichi Sato |
| author_sort | Naoki Matsumoto |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-7d8ae846054c4bdcbba098c8f8a65aff |
| institution | Kabale University |
| issn | 2090-2727 2090-2735 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Pregnancy |
| spelling | doaj-art-7d8ae846054c4bdcbba098c8f8a65aff2025-02-03T01:21:31ZengWileyJournal of Pregnancy2090-27272090-27352015-01-01201510.1155/2015/483195483195Naegele Forceps Delivery and Association between Morbidity and the Number of Forceps Traction Applications: A Retrospective StudyNaoki Matsumoto0Toshifumi Takenaka1Nobuyuki Ikeda2Satoshi Yazaki3Yuichi Sato4Department of Obstetrics and Gynecology, Tatedebari Sato Hospital, 96 Wakamatsucho, Takasaki, Gunma 370-0836, JapanDepartment of Obstetrics and Gynecology, Tatedebari Sato Hospital, 96 Wakamatsucho, Takasaki, Gunma 370-0836, JapanDepartment of Obstetrics and Gynecology, Tatedebari Sato Hospital, 96 Wakamatsucho, Takasaki, Gunma 370-0836, JapanDepartment of Obstetrics and Gynecology, Tatedebari Sato Hospital, 96 Wakamatsucho, Takasaki, Gunma 370-0836, JapanDepartment of Obstetrics and Gynecology, Tatedebari Sato Hospital, 96 Wakamatsucho, Takasaki, Gunma 370-0836, JapanObjective. 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.http://dx.doi.org/10.1155/2015/483195 |
| spellingShingle | Naoki Matsumoto Toshifumi Takenaka Nobuyuki Ikeda Satoshi Yazaki Yuichi Sato Naegele Forceps Delivery and Association between Morbidity and the Number of Forceps Traction Applications: A Retrospective Study Journal of Pregnancy |
| title | Naegele Forceps Delivery and Association between Morbidity and the Number of Forceps Traction Applications: A Retrospective Study |
| title_full | Naegele Forceps Delivery and Association between Morbidity and the Number of Forceps Traction Applications: A Retrospective Study |
| title_fullStr | Naegele Forceps Delivery and Association between Morbidity and the Number of Forceps Traction Applications: A Retrospective Study |
| title_full_unstemmed | Naegele Forceps Delivery and Association between Morbidity and the Number of Forceps Traction Applications: A Retrospective Study |
| title_short | Naegele Forceps Delivery and Association between Morbidity and the Number of Forceps Traction Applications: A Retrospective Study |
| title_sort | naegele forceps delivery and association between morbidity and the number of forceps traction applications a retrospective study |
| url | http://dx.doi.org/10.1155/2015/483195 |
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