Forceps: Management in the Hospital Cayetano Heredia

Abstract

In 3,767 births in the Cayetano Heredia Hospital it has made forceps delivery in 520 patients. Of these, 300 corresponded to maternal or fetal or maternal-fetal and forceps 220 elective indications. The following complications in the mother met: soft tissue trauma or neurological disorder neighborhood; both have been of limited extent and severity and outcome was favorable. Puerperal evolution showed anemia (41.7%) and puerperal infection (11.2% of uterus and 5% episiotomy); however, it is necessary to clarify that these complications have occurred almost simultaneously in patients with spontaneous labor who were seen in the same period. 445 has been revised pediatric medical records, showing a high percentage of complications which may be attributed to the use of forceps (20.4%); a percentage that reaches 5% or 22 children, presented hypoxia at birth; children subsequently recovered with treatment. Trauma to the newborn, such as skin lesion or scalp and facial paralysis, point to forceps to cause injury; other likely consequences would be attributed to forceps changes in cranial configuration and intracranial hemorrhage. The forceps has been a useful tool for solving complications in the second stage of labor instrument; it can be considered that their use is irreplaceable; however it is axiomatic accept that it is a useful instrument when the usage requirements are not met.