I know of a couple of difficult ventouse deliveries that may have been
better abandoned.. one baby was stillborn, but of course it was never
attributed to the ventouse!!
Di
----- Original Message -----
From: "Susan Cudlipp" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Wednesday, May 31, 2006 11:07 PM
Subject: Re: [ozmidwifery] Keillands Deliveries
I too have noticed a decline in the use of forceps. Time was that Kiellands
were fairly common, and in experienced hands, quite effective for a POP.
EXPERIENCED hands being the operative (no pun intended) word. One Ob
recently said that these days he would opt for a c/s rather than a
'difficult' forceps and I can see the sense in that - having witnessed some
truly horrific forceps births in the past, feet bracing the foot of the bed
when extreme force was used, and one where the mum was taken to theatre
with a forceps blade still stuck alongside the baby's head resulting in
long term damage for mum and a baby that only lived for 48 hours. Extreme
force should not be used - if the bub will not move then the attempt should
be abandoned. However, one off shoot of the current rise in c/s is that drs
are not experienced in instrumental deliveries, and even those that are
tend not to go for it if there is any doubt. Depends on the doctor and
his/her level of comfort I think - the next generation will have little
'comfort' in use of forceps at all methinks!
Wrigleys and ventouse really only have a place in births where the bub is
close to the door but either needs out quickly or mum is exhausted, one of
our obs uses wrigleys very effectively in these situations, does not put
mum in stirrups and is very gentle. Have also seen times when doctor will
bring bub to crowning and then remove instruments letting mum finish the
birth herself, which in the right circumstances can be very empowering.
The birth Mary spoke of sounds like it was perhaps an injudicious use of
ventouse given the circumstances?? Do you think this mum and baby might
have been less damaged given a C/S? ( Hindsight being such a wonderful
thing )
Sue
"The only thing necessary for the triumph of evil is for good men to do
nothing"
Edmund Burke
----- Original Message -----
From: "Mary Murphy" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Wednesday, May 31, 2006 5:30 PM
Subject: RE: [ozmidwifery] Keillands Deliveries
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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