This document discusses forceps delivery, which is an assisted birth using obstetric forceps to extract the fetal head when the mother is unable to deliver the baby on her own. It describes the different types of forceps used based on how far the baby's head has descended in the birth canal, including high, mid, low, rotational, and outlet forceps. The indications for a forceps delivery include maternal conditions like exhaustion or fetal distress. Criteria that must be met first include a fully dilated cervix. Complications can be maternal like vaginal lacerations or postpartum hemorrhage, or fetal like bruising, hemorrhage, or asphyxia.
Postnatal care (PNC) for the mother should respond to her special needs, starting within an hour after the delivery of the placenta and extending through the following six weeks. The care includes the prevention, early detection and treatment of complications, and the provision of counselling on breastfeeding, birth spacing, immunization and maternal nutrition. To standardise the PNC service, you are advised to use the screening, counselling and postnatal care cards. These cards ensure that you have covered all the essential steps in every home visit.
this ppt is beneficial for nursing and obstetric and gynaecology students.
Definition-
The destructive operations are designed to diminish the bulk of the fetus so as to facilitate easy delivery through the birth canal
types
Craniotomy
Eviceration
Decapitation
Cleidotomy
CRANIOTOMY
Definition
It is an operation to make a perforation on the fetal head to evacuate the contents followed by extraction of the fetus
DECAPITATION
Definition
It is a destructive operation whereby the fetal head is severed from the trunk and the delivery is completed with the extraction of the trunk and that of the decapitated head per vaginam
CLEIDOTOMY
Definition
The operation consist of reduction in the bulk of the shoulder girdle by division of one or both the clavicles
Indications
Dead fetus with shoulder dystocia
Procedure
The clavicles are divided by the embryotomy scissors or long straight scissors introduced under the guidance of left two fingers placed inside the vagina
Preparation for delivery of mother, baby and midwife and equipmentsDR MUKESH SAH
In addition to their delivery bags, midwives “carry” many other invaluable tools ... family planning, delivery preparation, postnatal counseling and breastfeeding. ... With this equipment, we can recover 80% of newborns. ... “Midwifery feels good when both the mother and baby come out of the labor ward alive.
VACUUM DELIVERY - OBSTETRICS AND GYNAECOLOGY-
DEALS WITH THE DELIVERY OF HUMAN BABY BY VACUUM IN SPECIAL OBSTETRIC CONDITIONS.
VACUUM is an instrumental device designed to assist delivery by creating a vacuum between it and the fetal scalp.
Please find the power point on Vacuum delivery. I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Postnatal care (PNC) for the mother should respond to her special needs, starting within an hour after the delivery of the placenta and extending through the following six weeks. The care includes the prevention, early detection and treatment of complications, and the provision of counselling on breastfeeding, birth spacing, immunization and maternal nutrition. To standardise the PNC service, you are advised to use the screening, counselling and postnatal care cards. These cards ensure that you have covered all the essential steps in every home visit.
this ppt is beneficial for nursing and obstetric and gynaecology students.
Definition-
The destructive operations are designed to diminish the bulk of the fetus so as to facilitate easy delivery through the birth canal
types
Craniotomy
Eviceration
Decapitation
Cleidotomy
CRANIOTOMY
Definition
It is an operation to make a perforation on the fetal head to evacuate the contents followed by extraction of the fetus
DECAPITATION
Definition
It is a destructive operation whereby the fetal head is severed from the trunk and the delivery is completed with the extraction of the trunk and that of the decapitated head per vaginam
CLEIDOTOMY
Definition
The operation consist of reduction in the bulk of the shoulder girdle by division of one or both the clavicles
Indications
Dead fetus with shoulder dystocia
Procedure
The clavicles are divided by the embryotomy scissors or long straight scissors introduced under the guidance of left two fingers placed inside the vagina
Preparation for delivery of mother, baby and midwife and equipmentsDR MUKESH SAH
In addition to their delivery bags, midwives “carry” many other invaluable tools ... family planning, delivery preparation, postnatal counseling and breastfeeding. ... With this equipment, we can recover 80% of newborns. ... “Midwifery feels good when both the mother and baby come out of the labor ward alive.
VACUUM DELIVERY - OBSTETRICS AND GYNAECOLOGY-
DEALS WITH THE DELIVERY OF HUMAN BABY BY VACUUM IN SPECIAL OBSTETRIC CONDITIONS.
VACUUM is an instrumental device designed to assist delivery by creating a vacuum between it and the fetal scalp.
Please find the power point on Vacuum delivery. I tried to present it on understandable way and all the contents are reviewed by experts and from very reliable references. Thank you
Egri vár az Egri csillagok alapján
Tanórai felhasználásra készült.
Forrás: https://www.slideshare.net/szecsey/a-16-szzadi-egri-vr-3ds-virtulis-rekonstrukcija
Ahmad mukhtar
MD.,M.B.B.Ch., M.Sc Obstetrics and GynecologyConsultant and Lecturer of Obstetrics and Gynecology, Faculty of
MEDICINE, Zagazig University.
Presented by:
Ahmad mukhtar
MD.,M.B.B.Ch., M.Sc Obstetrics and GynecologyConsultant and Lecturer of Obstetrics and Gynecology, Faculty of
MEDICINE, Zagazig University.
Series of events that take place in the genital organs in an effort to expel the viable products of conception out of the womb through the vagina into the outer world is called LABOR.
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Soft palate,tongue ,floor of the mouth/ dental crown & bridge coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
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Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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2 Case Reports of Gastric Ultrasound
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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How to Give Better Lectures: Some Tips for Doctors
Forceps delivery
1. FORCEPS DELIVERY
JOHN BRITTO MARY.V,JOHN BRITTO MARY.V,
MSC NURSING 2MSC NURSING 2NDND
YEAR,YEAR,
VINAYAKA MISSION’S COLLEGEVINAYAKA MISSION’S COLLEGE
OF NURSING, PUDUCHERRY.OF NURSING, PUDUCHERRY.
2. INTRODUCTION
FORCEPS DELIVERY MEANS USING OBSTETRICFORCEPS DELIVERY MEANS USING OBSTETRIC
FORCEPS (A PAIR OF INSTRUMENTAL DESIGNEDFORCEPS (A PAIR OF INSTRUMENTAL DESIGNED
TO EXTRACT FETAL HEAD) FOR DELIVERY WHENTO EXTRACT FETAL HEAD) FOR DELIVERY WHEN
THE MOTHER IS UNABLE TO DELIVERY THE BABYTHE MOTHER IS UNABLE TO DELIVERY THE BABY
BY HER OWN EFFORTS . IN OTHER WORDS,BY HER OWN EFFORTS . IN OTHER WORDS,
EXTRACTING FETAL HEAD WITH THE AID OFEXTRACTING FETAL HEAD WITH THE AID OF
SPECIALLY DESIGNED INSTRUMENT KNOWN ASSPECIALLY DESIGNED INSTRUMENT KNOWN AS
OBSTETRIC FORCEPS THEREBY ACCOMPLISHINGOBSTETRIC FORCEPS THEREBY ACCOMPLISHING
DELIVERY OF THE FETUS WHEN MOTHER ISDELIVERY OF THE FETUS WHEN MOTHER IS
UNABLE TO COMPLETE THE DELIVERY BY HERUNABLE TO COMPLETE THE DELIVERY BY HER
EFFORTS.EFFORTS.
FORCEPS DELIVERY IS AN ASSISSTED BIRTH WITHFORCEPS DELIVERY IS AN ASSISSTED BIRTH WITH
THE AID OF FORCEPS. THESE ARE DESIGNED TOTHE AID OF FORCEPS. THESE ARE DESIGNED TO
CRADLE THE BABYS HEAD AS TRACTION ONCRADLE THE BABYS HEAD AS TRACTION ON
HANDLES ASSISSTS THE BABY TO BE BORNHANDLES ASSISSTS THE BABY TO BE BORN
3.
4. PURPOSE
TO ASSIST IN DELIVERY AFTER COMINGTO ASSIST IN DELIVERY AFTER COMING
HEAD OF BREECH.HEAD OF BREECH.
TO TAKE OUT HEAD UP AND OUT OF PELVISTO TAKE OUT HEAD UP AND OUT OF PELVIS
AT CAESAREAN SECTION.AT CAESAREAN SECTION.
TO ROTATE AND TAKE OUT OF HEAD IN ANTO ROTATE AND TAKE OUT OF HEAD IN AN
UNFAVOURABLE POSITION OF BABY INUNFAVOURABLE POSITION OF BABY IN
VERTEX PRESENTATION.VERTEX PRESENTATION.
TO DELIVER BABY IN CASE OF FETALTO DELIVER BABY IN CASE OF FETAL
DISTRESS AFTER FULFILLING THEDISTRESS AFTER FULFILLING THE
CONDITIONS FOR USE OF FORCEPS.CONDITIONS FOR USE OF FORCEPS.
5. INDICATIONS
FOLLOWING ARE THE INDICATIONS FOR USE OFFOLLOWING ARE THE INDICATIONS FOR USE OF
FORCEPS:FORCEPS:
MATERNALMATERNAL
FETALFETAL
MISCELLANEOUS / OTHERSMISCELLANEOUS / OTHERS
A)MATERNAL:A)MATERNAL:
-- MATERNAL HEART DISEASES:MATERNAL HEART DISEASES: MATERNALMATERNAL
HEART DISEASES IS A CONDITION WHEREHEART DISEASES IS A CONDITION WHERE
PUSHING WOULD BE DETRIMENTAL TO MOTHER .PUSHING WOULD BE DETRIMENTAL TO MOTHER .
FOR EG, A MATERNAL HEART DISEASES OR AFOR EG, A MATERNAL HEART DISEASES OR A
VERY HIGH PRESSURE WHERE PUSHING THEVERY HIGH PRESSURE WHERE PUSHING THE
BABY CAN BE DETERIMENTAL TO MOTHER.BABY CAN BE DETERIMENTAL TO MOTHER.
6. -- MATERNAL EXHAUSTIONMATERNAL EXHAUSTION: IT IS A CONDITION: IT IS A CONDITION
WHEN THE MOTHER IS BEING EXHAUSTED BYWHEN THE MOTHER IS BEING EXHAUSTED BY
PUSHING EFFORTS FOR A LONGER TIME PERIODPUSHING EFFORTS FOR A LONGER TIME PERIOD
AND UNABLE TO TAKE HER OWN EFFORTS TOAND UNABLE TO TAKE HER OWN EFFORTS TO
PUSH THE BABY OUT AND HEAD IS ON PERINEUMPUSH THE BABY OUT AND HEAD IS ON PERINEUM
FOR 20-30 MINUTES WITHOUT ADVANCEMENT.FOR 20-30 MINUTES WITHOUT ADVANCEMENT.
-- INADEQUATE EXPULSIVE EFFORTSINADEQUATE EXPULSIVE EFFORTS: WHEN THE: WHEN THE
MOTHER EXPULSIVE ACTION OF FETUS IS POORMOTHER EXPULSIVE ACTION OF FETUS IS POOR
DUE TO UTERINE INERTIA, POOR BEARING DOWNDUE TO UTERINE INERTIA, POOR BEARING DOWN
EFFORTS, USE OF REGIONAL BLOCKS,EFFORTS, USE OF REGIONAL BLOCKS,
PSYCHIATRIC DISRUBANCES OR PARALEGIA.PSYCHIATRIC DISRUBANCES OR PARALEGIA.
-- PRE-ECLAMSIA/ECLAMPSIAPRE-ECLAMSIA/ECLAMPSIA: MOTHER HAS POOR: MOTHER HAS POOR
EXPULSIVE EFFORTS DUE TO DRUGS RECIVEDEXPULSIVE EFFORTS DUE TO DRUGS RECIVED
SUCH AS MAGNESIUM SULPHATE , DIAZAPEM,SUCH AS MAGNESIUM SULPHATE , DIAZAPEM,
DILANTIN.DILANTIN.
7. B) FETAL INDICATIONS:B) FETAL INDICATIONS:
- FETAL DISTRESSFETAL DISTRESS
- AFTER COMING HEAD OF BREECHAFTER COMING HEAD OF BREECH
- CORD PROLAPSECORD PROLAPSE
- LOW BIRTH WEIGHT BABYLOW BIRTH WEIGHT BABY
- POST MATURITYPOST MATURITY
C) MISCELLANEOUS:C) MISCELLANEOUS:
- PROLONGED SECOND STAGE OF LBOUR i.e INPROLONGED SECOND STAGE OF LBOUR i.e IN
NULLIPARA – MORE THAN 2 HOURS AND MORENULLIPARA – MORE THAN 2 HOURS AND MORE
THAN 1 HOURS IN MULTIPARA.THAN 1 HOURS IN MULTIPARA.
- TO REDUCE THE TIME FOR SECOND STAGE OFTO REDUCE THE TIME FOR SECOND STAGE OF
LABOUR.LABOUR.
- SEVERE ECLAMPSIASEVERE ECLAMPSIA
- HEART DISASES OF MOTHERHEART DISASES OF MOTHER
- POST CEASERIAN PREGNANCYPOST CEASERIAN PREGNANCY
8. TYPES OF FORCEPS USED
DEPENDING ON HOW FOR THE BABYSDEPENDING ON HOW FOR THE BABYS
HEAD HAS DECENDED DOWN THE WOMENSHEAD HAS DECENDED DOWN THE WOMENS
BIRTH CANAL AND POSITION OF THE BABYSBIRTH CANAL AND POSITION OF THE BABYS
HEAD FORCEPS HAVE BEEN CLASSIFIEDHEAD FORCEPS HAVE BEEN CLASSIFIED
INTO FOLLOWING TYPES:INTO FOLLOWING TYPES:
HIGH FORCEPSHIGH FORCEPS
MID FORCEPSMID FORCEPS
LOW FORCEPSLOW FORCEPS
ROTATIONA FORCEPSROTATIONA FORCEPS
NON ROTATIONAL FORCEPSNON ROTATIONAL FORCEPS
9.
10. HIGH FORCEPS
HIGH FORCEPS ARE USED WHEN HEAD IS NOTHIGH FORCEPS ARE USED WHEN HEAD IS NOT
ENGAGED. IT MEANS HEAD OF BABY IS IN LOWERENGAGED. IT MEANS HEAD OF BABY IS IN LOWER
SECTION OF UTERUS AND IS DELIVERED WITHSECTION OF UTERUS AND IS DELIVERED WITH
HIGH FORCEPS i.e, FORCEPS NEED TO BE PLACEDHIGH FORCEPS i.e, FORCEPS NEED TO BE PLACED
FURTHER UP THE VAGINA , INSIDE THE UTERUS.FURTHER UP THE VAGINA , INSIDE THE UTERUS.
THIS PRACTISE IS CONSIDERED TOO RISKY AS ITTHIS PRACTISE IS CONSIDERED TOO RISKY AS IT
CAN LEAD TO INJURY TO WOMEN OR BABY. SOCAN LEAD TO INJURY TO WOMEN OR BABY. SO
THESE FORCEPS ARE NOT REQUIRED TO BETHESE FORCEPS ARE NOT REQUIRED TO BE
USED. IT IS BETTER TO HAVE CASEAREANUSED. IT IS BETTER TO HAVE CASEAREAN
SECTION INSPITE OF USING HIGH FORCEPS FORSECTION INSPITE OF USING HIGH FORCEPS FOR
DELIVERY.DELIVERY.
11. MID FORCEPS
MID FORCEPS ARE USED , WHENMID FORCEPS ARE USED , WHEN
HEAD IS ENGAGED AND PRESENTINGHEAD IS ENGAGED AND PRESENTING
PART IS ABOVE +2 STATION. THEPART IS ABOVE +2 STATION. THE
COMMONLY USED FORCEPS ARE:COMMONLY USED FORCEPS ARE:
- NEVILLE BARNES (NB)NEVILLE BARNES (NB)
- HAIG FERGUSON (HF)HAIG FERGUSON (HF)
12. LOW FORCEPS
THESE ARE MOST COMMONLY USEDTHESE ARE MOST COMMONLY USED
FORCEPS. THESE FORCEPS ARE USEDFORCEPS. THESE FORCEPS ARE USED
WHEN THE BABYS HEAD IS BELOWWHEN THE BABYS HEAD IS BELOW
STATION +2 , WHICH IS FAIRLY LOW INSTATION +2 , WHICH IS FAIRLY LOW IN
VAGINAL CANAL. IT MEANS LEADING POINTVAGINAL CANAL. IT MEANS LEADING POINT
OF FETAL SKULL IS +2 OR MORE BUT HASOF FETAL SKULL IS +2 OR MORE BUT HAS
NOT YET REACHED THE PELVIC FLOOR.NOT YET REACHED THE PELVIC FLOOR.
LOW FORCEPS ARE USUALLY ABLE TOLOW FORCEPS ARE USUALLY ABLE TO
SUCCESSFULLY DELIVER THE BABY. THESUCCESSFULLY DELIVER THE BABY. THE
MOST COMMENLY USED LOW FORCEPS IS:MOST COMMENLY USED LOW FORCEPS IS:
SIMPSONS FORCEPS.SIMPSONS FORCEPS.
13. OUTLET FORCEPS
OUTLET FORCEPS ARE USED , WHEN THE BABYS HEAD CANOUTLET FORCEPS ARE USED , WHEN THE BABYS HEAD CAN
BE EASILY SEEN AT THE OPENING OF THE WOMANS VAGINA ,BE EASILY SEEN AT THE OPENING OF THE WOMANS VAGINA ,
BUT THE BABYS HEAD IS NOT EMEMRGING ANY FURTHR. ITBUT THE BABYS HEAD IS NOT EMEMRGING ANY FURTHR. IT
MEANS OUTLET FORCEPS ARE APPLIED WHEN:MEANS OUTLET FORCEPS ARE APPLIED WHEN:
- SCALP IS VISIBLE AT THE INTROITUS WITHOUT SEPERATINGSCALP IS VISIBLE AT THE INTROITUS WITHOUT SEPERATING
THE LABIA .THE LABIA .
- FETAL SKULL HAS REACHED THE LEVEL OF THE PELVICFETAL SKULL HAS REACHED THE LEVEL OF THE PELVIC
FLOOR .FLOOR .
- SAGITTAL SUTURE IS IN DIRECT ANTERIOR POSTERIORSAGITTAL SUTURE IS IN DIRECT ANTERIOR POSTERIOR
DIAMETRE OR IN THE RIGHT OR LEFT OCCIPUT ANTERIORDIAMETRE OR IN THE RIGHT OR LEFT OCCIPUT ANTERIOR
OR POSTERIOR POSITION.OR POSTERIOR POSITION.
- FETAL HEAD IS AT OR AN PERINUM.FETAL HEAD IS AT OR AN PERINUM.
- ROTATION IS < 45 DEGREES.ROTATION IS < 45 DEGREES.
- MOST COMMOMLY USED OUTLET FORCEPS ARE;MOST COMMOMLY USED OUTLET FORCEPS ARE;
- WRINGLEYS FORCEPSWRINGLEYS FORCEPS
14. ROTATIONAL FORCEPS
ALONG WITH ENGAGEMENT OF HEAD OF BABY,ALONG WITH ENGAGEMENT OF HEAD OF BABY,
OTHER ASPECTS ARE CONSIDERED WHILEOTHER ASPECTS ARE CONSIDERED WHILE
SELECTING THE FORCEPS i.e, WHEN THE BABYSELECTING THE FORCEPS i.e, WHEN THE BABY
NEEDS TO BE TURNED FROM POSTERIORNEEDS TO BE TURNED FROM POSTERIOR
POSITION. AS A BABY IN A POSTERIOR POSITIONPOSITION. AS A BABY IN A POSTERIOR POSITION
PREVENT THE BABY FROM DESCENDING DOWNPREVENT THE BABY FROM DESCENDING DOWN
THE BIRTH CANAL. ROTATIONAL FORCEPSTHE BIRTH CANAL. ROTATIONAL FORCEPS
COMMONLY USED ASCOMMONLY USED AS
-- KIELLANDS FORCEPS :KIELLANDS FORCEPS : THIS FORCEPS ARE USEDTHIS FORCEPS ARE USED
TO TURN THE BABY INTO A MORE FAVOURABLETO TURN THE BABY INTO A MORE FAVOURABLE
ANTERIOR POSITION AND THEN TRACTION ISANTERIOR POSITION AND THEN TRACTION IS
USED WITH SAME FORCEPS TO DELVER THE BABYUSED WITH SAME FORCEPS TO DELVER THE BABY
15. NON ROTATIONAL FORCEPS
MOST OF MID, LOW, AND OUTLETMOST OF MID, LOW, AND OUTLET
FORCEPS ARE NOT ROTATIONALFORCEPS ARE NOT ROTATIONAL
TYPE. THEY ARE USED TO BRING THETYPE. THEY ARE USED TO BRING THE
BABY DOWN. THE BIRTH CANALBABY DOWN. THE BIRTH CANAL
WITHOUT CHANGING THE POSITIONWITHOUT CHANGING THE POSITION
OF THE BABYS HEAD.OF THE BABYS HEAD.
16. CRITERIA TO BE FULLFILLED
BEFORE APPLICATIONS
FORCEPS- THE CERVIX MUST BE FULLY DILATED.THE CERVIX MUST BE FULLY DILATED.
- THE MEMBRANES MUST BE RUPTUREDTHE MEMBRANES MUST BE RUPTURED
- THE FETAL HEAD MUST BE ENGAGEDTHE FETAL HEAD MUST BE ENGAGED
- THE FETAL HEAD AND POSITION MUST BE KOWNTHE FETAL HEAD AND POSITION MUST BE KOWN
WITH CERTANITYWITH CERTANITY
- THERE SHOULD NOT BE MAJOR C.P.D BY CLINICALTHERE SHOULD NOT BE MAJOR C.P.D BY CLINICAL
PELVIMETRYPELVIMETRY
- BLADDER SHOULD BE EMPTIEDBLADDER SHOULD BE EMPTIED
- ADEQUATE ANALGESIA HAS BEEN GIVEN TOADEQUATE ANALGESIA HAS BEEN GIVEN TO
MOTHER.MOTHER.
- NEED TO BE DONE BY EXPERIENCED PERSON.NEED TO BE DONE BY EXPERIENCED PERSON.
19. POST PATRUM HAEMORRHAGEPOST PATRUM HAEMORRHAGE
- TRAUMATICTRAUMATIC
- ATONIC UTERUSATONIC UTERUS
- BOTH- TRAUMATIC & ATONIC UTERUSBOTH- TRAUMATIC & ATONIC UTERUS
IT CAN RESULT IN SHOCK.IT CAN RESULT IN SHOCK.