ABSTRACT Objective: The fundal pressure exerted by the assistant to deliver fetal head is
often painful to the patient. This study assesses the
use of double blade forceps in delivery of fetal head at time of elective Cesarean
Section (CS).Methods: Aprospective single-blinded randomized controlled trial was
conducted among 150 women with repeat elective CS at Ain Shams university
hospital, Air Force Specialized hospital and October 6th university
hospital. Women were classified into 3 groups (each 50 women). Forceps group: A
double blade of forceps was used without fundal pressure. Single blade group:
single blade of forceps was used assisted by fundal pressure. Manual group:
manual extraction was used assisted by fundal pressure. The outcome of study
were; Pain expectation score , pain score during delivery of head, unintended
uterine extension, uterine vessels injury and need for additional stitches. The
collected data were statistically analyzed using SPSS version 20. Results: HighStatistically significant difference in pain score during
delivery of head in favor of forceps group (P=0.001).No differences were found among 3
groups as regarding pain expectation, uterine extension, uterine vessel injury
and in need of haemostatic stitches (P>0.05). Conclusion: Use of double blade forceps is less painful for the patients during
delivery of head in CS.
Cite this paper
Wahab, A. and Aboulouz, A. (2018) Comparison between Forceps, Single Blade Forceps and Manual Extraction of Fetal Head in Elective Caesarean Section: A Randomized Control Trial—Forceps Delivery in Cesarean Section. Open Journal of Obstetrics and Gynecology, 8, 31-38. doi: 10.4236/ojog.2018.81004.
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