gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

A Prospective comparative study between Wrigley forceps and manual extraction of fetal head in elective CS a prospective cross section study


Author(s): Mohamed I Taema*, Nada Alayed*, Salwa Neyazi, Khalid Akkour, Eman Al Shehri, Ibrahim Al-Handalishy, Osama Deif, Marwa Saber Sons

Background: Delivery of fetal head by forceps has many advantages; small uterine and skin incision and no need of fundal pressure exerted on abdomen resulting in patient dissatisfaction. Objective: to compare the extraction of fetal head either manually or by Wrigley forceps. Methods: A prospective cross section comparative study on 90 pregnant women were classified into two groups in 2 different hospitals; 45 women in each group. Forceps group: Done in first hospital where Wrigley forceps was used for delivery of fetal head. Manual group: Done in second hospital by performing the usual way of head extraction. The outcome of study were; Expected Pain score, pain score felt with delivery of head, uterine extension, injury of uterine vessels and use of extra stitches. Results: There was a statistically significant difference among 2 groups as regard pain score (P<0.05). No statistically significant differences were found between 2 groups as regarding expectation of pain, unintended uterine extension, injury of uterine vessel and need of additional hemostatic stitches. Conclusion: Wrigley forceps is less painful to the patient during delivery of fetal head in cesarean section (CS).

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