FORCEPS & VACUUM EXTRACTION

Kanadi Sumapradja
kanadisuma@yahoo.com

FORCEPS STRUCTURE

FORCEPS

PIPER

SIMPSON

KIELLAND

ELLIOT

FORCEPS LOCK

FRENCH

GERMANY

SLIDING

FORCEPS LOCK

PIVOT

ENGLISH

SEBELUM TINDAKAN

FORCEPS
A B C D E F
ANAESTHESIA BLADDER CERVIX DETERMINE EQUIPMENT FORCEPS Adequate - epidural or pudendal Appropriate positioning and access In/out catheterization or ensure bladder empty Fully dilated, membranes ruptured Position, station and pelvic adequacy Complete and working forceps, anesthesia support Phantom application Left blade, left hand, maternal left side, pencil grip and vertical insertion, with right thumb directing blade right blade, right hand, maternal right side, pencil grip and vertical insertion with left thumb directing blade (PFS) lock blades and support & check application posterior fontanelle 1 cm above plane of shanks fenestration no >fingerbreadth between it and scalp sagittal suture in perpendicular to plane of shanks with occipital sutures 1cm above respective blades Traction - applied with contraction/expulsive effort Elevated - traction in axis of birth canal do no elevate handle too early Consider episiotomy if laceration imminent Remove forceps when Jaw is reachable or delivery assured

G H I J

GENTLE HANDLE INCISION JAW

Forceps operations are of two kinds:

Low Forceps The fetal head has reached the perineal floor and is visible at the vulva.

Mid Forceps Engagement has taken place and the leading part of the head is below the level of the ischial spines

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