Forceps training needed21st October 2010
Experts have suggested that more training in techniques used during difficult births could help reduce the number of caesarean sections.
It has been claimed that junior doctors would benefit from more time using simulators that help them practise forceps deliveries.
The call comes as new figures have shown wide variation in the number of caesarean deliveries from one hospital to another in the UK and at a time that caesarean deliveries are rising while the number of deliveries using forceps has fallen.
Forceps are placed on the baby’s head so it can be pulled outwards, and ventouse, a suction cap which is also placed on the head, help doctors apply pressure when a woman is having difficulty delivering the head by pushing alone.
In an article in the professional publication "The Obstetrician and Gynaecologist", consultant obstetrician Prabbha Sinha from the Conquest Hospital in St Leonard’s-on-Sea, said extra training could reverse this trend.
He said: “Emergency caesarean sections carry the risk of severe obstetric morbidity, but if conducted properly, instrumental deliveries can be safe and make it easier to give birth again vaginally.”
The Royal College of Obstetricians and Gynaecologists has backed a call for more training but also suggested that junior doctors would be more likely to opt for caesareans if they were working unsupervised by a consultant and if they had relatively little experience or training in forceps use.
Spokesman Patrick O'Brien added: “The European Working Time Directive has meant falls in the number of training hours, and the total years of training have been reduced.”
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Wednesday 27th October 2010 @ 12:41
My daughter was killed by the misuse of forceps.
Its a cheap, primitive and barbaric way to deliver a child.
The NHS will try to reduce costs in maternity care. However, they just need to damage or injure a celebrity or someone in the public eye and the forceps will be confined to the bin.
Is it ever good practice to apply two LOCKED metal blades (spoon shaped), to a baby’s (soft) temporal lobes, and attempts to turn the baby’s head and at the same time assist baby down the birth canal with excessive force.
There is NO SAFETY mechanism built into the forcep. How does the operator know the appropriate pressure to apply on the babies head? And how does the operator know the correct traction pressure on which to deliver the newborn?
They don’t its GUESS WORK. Would the practitioner take this chance with their own baby?
Its a high risk procedure.
Wednesday 27th October 2010 @ 12:42
There is only one birth - a SAFE birth! Dependent on the individual needs and choice of mother in the best interests for her newborn.
The myth and perpetuation of the 'natural birth', is created to satisfy the NHS budget and keep one from questioning the merits of current maternity practice.
For example, if a mother does not accomplish the 'natural birth', she potentially feels a failure, blames herself and does not then question the reservations regarding HER 'traumatic' birth experience. Hence maternity care is continuously neglected without up-to-date research and investment in better PRACTICE initiatives.
And a Forceps birth is not a 'natural birth'.
Question what goes on in maternity care!
Wednesday 27th October 2010 @ 12:47
C Campbell - it sounds like you were in the Edinburgh Royal Infirmary Simpsons Maternity unit.
They pride them selves on the forceps delivery and will do everything to avoid the costly c/section.
On the outside it is a modern building but behind the doors is a 'Victorian' view to child birth - hence the highest forceps use in the country.e.g. figures from 2005 revealing the percentage was 12.4 per cent and 9 per cent in 2000; and 7.5 per cent in 1995. The national average for the use of forceps is 9.3 per cent.
The 'experts' are talking about training practitioners to use them?? A bit late.
If they want to save money reduce their highly inflated wage bill and bonuses.
Patient-centred care - an insult to the prospective mother and newborn.
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