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 AlHandalishy, Osama Deif and Marwa Saber Sonsi

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 the 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 the first hospital where Wrigley forceps were used for deliver the fetal head.

Manual group: Done in the second hospital by performing the usual way of head extraction. The outcome of the study was; Expected Pain score, pain score felt with the delivery of the head, uterine extension, injury of uterine vessels, and use of extra stitches.

Results: There was a statistically significant difference between the 2 groups regarding pain score (P<0.05). No statistically significant differences were found between the 2 groups regarding the expectation of pain, unintended uterine extension, injury of the uterine vessel, and need of additional hemostatic stitches.

Conclusion: Wrigley forceps is less painful to the patient during the delivery of the fetal head in cesarean section (CS).