Pregnancy Notes - Page 20
Labour and Birth - Instrumental Delivery & Caesarean Section

 

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Information for Professionals
Page 20 - Labour and Birth
 
 

 

 

RCOG Green top Guidelines: Instrumental delivery No.26
http://www.rcog.org.uk/guidelines.asp?PageID=106&GuidelineID=12

This evidenced based review covers indications for delivery, choice of instrument (including information from the Cochrane reviews below), complications, training and documentation.


Johanson RB, Menon BKV.
Vacuum extraction vs forceps delivery. (Cochrane Review).
In: The Cochrane Library, Issue 4, 1999. Oxford: Update Software, Abstract

10 trials were of sufficient quality to be included. The vacuum extractor appears to cause less maternal trauma but the forceps results in less cephalohaematoma and retinal haemorrhages.


Johanson R, Menon V.
Soft versus rigid vacuum extractor cups for assisted vaginal delivery (Cochrane Review).

In: The Cochrane Library, Issue 1, 2002. Oxford: Update Software, Abstract


Smaill F, Hofmeyr GJ.
Antibiotic prophylaxis for cesarean section (Cochrane Review).
In: The Cochrane Library, Issue 1, 2002. Oxford: Update Software, Abstract.

Routine antibiotic prophylaxis significantly reduces postpartum fever, Endometritis, wound infection and urinary tract infections.


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