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Obstetric forceps dimensions and the newborn head biometry: Time for an update
AT. Ismail, A. Fritze, M. Rüdiger, KM. Ismail
Jazyk angličtina Země Irsko
Typ dokumentu časopisecké články, přehledy
- MeSH
- biometrie MeSH
- hlava diagnostické zobrazování MeSH
- lidé MeSH
- novorozenec MeSH
- porodní děj * MeSH
- porodnické kleště * škodlivé účinky MeSH
- těhotenství MeSH
- vedení porodu MeSH
- Check Tag
- lidé MeSH
- novorozenec MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Obstetric forceps were invented in the 1600s to assist vaginal delivery of term babies following prolonged labour. This probably explains their design, with a narrow interblade distance and long blade length, to fit a severely moulded fetal head. However, in modern obstetric practice protracted labour is avoided, yet our research has shown that over 400 years forceps dimensions have remained largely unchanged. We believe it is time to optimise these dimensions based on biometry of the term, newborn baby's head, with the head width (biparietal diameter) and head length (mentovertical diameter) correlating with interblade distance and blade length respectively. We hypothesise that doing so should reduce the incidence of neonatal complications associated with forceps assisted delivery and it is also possible that the amended shape might be associated with better outcomes for women. In this article we present our rationale for the optimisation of the forceps dimensions based on the findings of our previous systematic review and an original series of mentovertical and biparietal diameter measurements using laser scanning technology.
Biomedical Center Faculty of Medicine in Pilsen Charles University Czech Republic
New Cross Hospital The Royal Wolverhampton NHS Trust Wolverhampton WV10 0QP UK
Citace poskytuje Crossref.org
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- $a Ismail, Abdul-Qader T $u New Cross Hospital, The Royal Wolverhampton NHS Trust, Wolverhampton, WV10 0QP, UK. Electronic address: aqt.ismail@bnc.oxon.org
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- $a Obstetric forceps were invented in the 1600s to assist vaginal delivery of term babies following prolonged labour. This probably explains their design, with a narrow interblade distance and long blade length, to fit a severely moulded fetal head. However, in modern obstetric practice protracted labour is avoided, yet our research has shown that over 400 years forceps dimensions have remained largely unchanged. We believe it is time to optimise these dimensions based on biometry of the term, newborn baby's head, with the head width (biparietal diameter) and head length (mentovertical diameter) correlating with interblade distance and blade length respectively. We hypothesise that doing so should reduce the incidence of neonatal complications associated with forceps assisted delivery and it is also possible that the amended shape might be associated with better outcomes for women. In this article we present our rationale for the optimisation of the forceps dimensions based on the findings of our previous systematic review and an original series of mentovertical and biparietal diameter measurements using laser scanning technology.
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- $a Fritze, Anne $u Department of Neonatology and Paediatric Intensive Care, Universitätsklinikum Carl Gustav Carus, TU Dresden, Germany. Electronic address: Anne.Fritze@uniklinikum-dresden.de
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- $a Rüdiger, Mario $u Department of Neonatology and Paediatric Intensive Care, Universitätsklinikum Carl Gustav Carus, TU Dresden, Germany. Electronic address: Mario.Ruediger@uniklinikum-dresden.de
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- $a Ismail, Khaled M $u Department of Obstetrics and Gynecology, Faculty of Medicine in Pilsen, Charles University, Czech Republic; Biomedical Center, Faculty of Medicine in Pilsen, Charles University, Czech Republic. Electronic address: Khaled.Ismail@lfp.cuni.cz
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