I remember Kelliands from student days. Applied, turned, off and the woman
then proceeding to a normal birth.  I myself, had a Kelliands with bub no.4.
POP, quick turn and she just about fell out. In the right hands they can be
effective and prevent major surgery. I have see the vacuum used for birthing
a POP.   Maureen

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Nicole Carver
Sent: Wednesday, 31 May 2006 6:28 PM
To: [email protected]
Subject: RE: [ozmidwifery] Keillands Deliveries


Hi Marg,
A lot of women who would birth at my workplace (regional Victoria) in the
past with Keillands are now birthed by caesarean. Usually vacuum will not
do/be used to do what Keillands will do (in the majority of cases, although
I was taught it was possible) ie rotate the head from OP or transverse. I
haven't seen a Keillands for about four years. Not sure if it is due to a
perception that it is safer & fear of litigation if there are birth
injuries, maybe. It isn't due to the doctors not having the skills where I
work, because we haven't had a change of doctors in years (unfortunately!) I
will be very interested to hear the other responses that you get.
Warm wishes,
Nicole.

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Marg Williams
Sent: Wednesday, May 31, 2006 4:52 PM
To: [email protected]
Subject: [ozmidwifery] Keillands Deliveries


I would be interested to know what other midwives experiences are regarding
the use of keillands forceps. I trained in a tertiary hospital in Victoria
almost 20 years ago, and regularly saw keillands forceps used. I have
noticed a decline in their use over this time, and am wondering is this a
current trend in obstetrics generally, or perhaps just a Queensland trend to
use vacuums for assisted deliveries. I can't help wondering if it is a skill
not being passed on to our training registrars as the older obstetricians
retire, and take these skills with them, or maybe vacuum deliveries are the
easiest way out. What do other midwives think?

Marg

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