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5 INTRAPARTUM CARE
5.11 ASSISTED VAGINAL DELIVERY
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7.
8.
CONTRA-INDICATIONS
2008
All guidelines should be read in conjunction with the Disclaimer at the beginning of this manual
Page 1 of 6
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8.
1X 20 mL syringe
1X 19 gauge needle
1X 22 gauge needle
10 mL 1%Lignocaine
PROCEDURE
1
ADDITIONAL INFORMATION
Informed consent
Ensure the woman has given informed
consent.
Analgesia
Assess and provide appropriate analgesia.
All guidelines should be read in conjunction with the Disclaimer at the beginning of this manual
Page 2 of 6
PROCEDURE
4
Abdominal Palpation
Perform an abdominal palpation, followed by
a bimanual vaginal examination.
ADDITIONAL INFORMATION
Maternal positioning
Place the woman in the dorsal lithotomy
position
Bladder Care
Vaginal examination
Perform a vaginal examination to determine:
dilatation
position
station
moulding
presence of caput
9.1
9.2
All guidelines should be read in conjunction with the Disclaimer at the beginning of this manual
Page 3 of 6
PROCEDURE
ADDITIONAL INFORMATION
10
Applying traction
10.1
10.2
10.4
10.5
11
11.1
All guidelines should be read in conjunction with the Disclaimer at the beginning of this manual
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PROCEDURE
11.2
12
Documentation
12.1
15.1
15.2
15.3
ADDITIONAL INFORMATION
REFERENCES
1.
2.
O'Mahony F, Hofmeyr GL, Menon V. Choice of instruments for assisted vaginal delivery. The Cochrane
Database of Systematic reviews. 2010(11).
Suwannachat B, Lumbiganon P, Laopaiboon M. Rapid versus stepwise negative pressure application for
vacuum extraction assisted delivery. Cochrane Database of Systematic Reviews. 2008(3).
3.
Hook CD, Damos JR. Vacuum-Assisted Vaginal Delivery. American Family Physician. 2008;78(8):95360.
4.
Royal College of Obstetricians and Gynaecologists. Operative Vaginal Delivery. Consent Advice No 11.
2010.
The Society of Obstetricians and Gynecologists of Canada. SOGC Clinical Practice Guidelines. Number
148. Guidelines for operative vaginal birth. International Journal of Gynecology and Obstetrics.
2005;88:229-36.
The Royal Australian and New Zealand College of Obstetricians and Gynaecologists. Instrumental
Vaginal Delivery. College Statement C-Obs 16. 2009.
5.
6.
7.
8.
9.
10.
Edozien LC. Towards safe practice in instrumental vaginal delivery. Best Practice & research Clinical
Obstetrics and Gynaecology. 2007;21(4):639-55.
The Royal Australian and New Zealand College of Obstetricians and Gynaecologists. Rotational forceps
C-Obs 13. RANZCOG College statement. 2009.
The Society of Obstetricians and Gynecologists of Canada. SOGC Clinical Practice Guidelines. Number
148. Guidelines for operative vaginal birth. International Journal of Gynecology and Obstetrics.
2004;88:581-98.
McQuivey RW. Vacuum-assisted delivery: a review. The Journal of Maternal-Fetal and Neonatal
Medicine. 2004;16:171-9.
All guidelines should be read in conjunction with the Disclaimer at the beginning of this manual
Page 5 of 6
11.
12.
Vacca A. Vacuum-assisted delivery. Best Practice & Research Clinical Obstetrics and Gynaecology.
2002;16(1):17-30.
13.
Royal College of Obstetricians and Gynaecologists. Operative Vaginal Delivery. Green-Top Guideline
No 26. 2005.
All guidelines should be read in conjunction with the Disclaimer at the beginning of this manual
Page 6 of 6