I recently was present where a ventouse was used to turn a baby from POP,
asynclitic position. It was very difficult, with extreme force and a very
"generous" episiotomy. The baby was extremely shocked and had a head like a
bowl of port wine jelly. It stayed 6 days under the Bili lights with high
levels of jaundice.I believe that this was the ideal situation to use a
Keillands for rotation and descent. Wriggley's was usually used to "lift
out" the baby. This ventouse delivery has led to anguish and exhaustion for
the mother, breast feeding interruption and confusion, formula feeding and a
lack of connectedness with the baby. I haven't seen anyone use a Keillands
or wriggly's for a long time. M
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