Comparison between Forceps, Single Blade Forceps and Manual Extraction of Fetal Head in Elective Caesarean Section: A Randomized Control Trial—Forceps Delivery in Cesarean Section

摘要

>Objective: style="font-family:Verdana;">The fundal pressure exerted by the assistant to deliver fetal head is often painful to the patient. This study ass style="font-family:Verdana;">es style="font-family:Verdana;">ses the use of double blade forceps in delivery of fetal head at time of elective Cesarean Section (CS). style="font-family:;" "=""> style="font-family:Verdana;">Methods: style="font-family:;" "=""> style="font-family:Verdana;">A style="font-family:Verdana;">prospective single-blinded randomized controlled trial was conducted among 150 women with repeat elective CS at Ain Shams university hospital, Air Force Specialized hospital and October 6 style="font-family:Verdana;">th style="font-family:Verdana;"> university hospital. Women were classified into 3 groups (each 50 women). Forceps group: A double blade of forceps was used without fundal pressure. Single blade group: single blade of forceps was used assisted by fundal pressure. Manual group: manual extraction was used assisted by fundal pressure. The outcome of study were; Pain expectation score , pain score during delivery of head, unintended uterine extension, uterine vessels injury and need for additional stitches. The collected data were statistically analyzed using SPSS version 20 style="font-family:Verdana;">. style="font-family:Verdana;">Results: style="font-family:;" "=""> style="font-family:Verdana;">High style="font-family:Verdana;">Statistically significant difference in pain score during delivery of head in favor of forceps group (P style="font-family:;" "=""> style="font-family:Verdana;">= style="font-family:;" "=""> style="font-family:;" "=""> style="font-family:Verdana;">0.001). style="font-family:Verdana;">No differences were found style="font-family:Verdana;">among style="font-family:Verdana;"> 3 groups as regarding pain expectation, uterine extension, uterine vessel injury and in need of haemostatic stitches (P style="font-family:;" "=""> style="font-family:Verdana;" style="font-family:;" "=""> style="font-family:;" "=""> style="font-family:Verdana;">0.05). style="font-family:Verdana;">Conclusion: style="font-family:Verdana;">Use of double blade forceps is less painful for the patients during delivery of head in CS.