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Vacuum and Forceps Delivery Vacuum and Forceps Extractor

Assisting For Vacuum And Forcep Delivery

Purpose

When labor doesn’t progress smoothly, some assistance becomes necessary.  Popular procedures involve the use of instruments such as Vacuum and Forceps Deliver ( Extractor ).

Scope

When labor doesn’t progress smoothly in labor patients.

Definition-Vacuum and Forceps Delivery

Vacuum Delivery

Facilitation of vaginal birth by attachment of a suction cup to the presenting fetal part (generally the head) and application of traction during maternal pushing.  The cups can be made of plastic, latex or metal and may be rigid or flexible.

Forceps Delivery

Extraction of the child from the maternal passages by application of forceps to the fetal head.

Applicable Areas

Gyneac and Obstetric Department.

Responsibility

Consultant, Medical Officer, Staff Nurse, Auxillary Nurse Midwife and Head Nurse.

Procedure

  • Ensure that the patient and relatives are explained about the need, advantage as well as complications of applications of vacuum / forceps.
  • Obtain written consent from patient and spouse / relative.
  • Be prepared to receive the baby and put on the warmer.
  • Keep ready all resuscitation equipment and check whether it is in working condition.
  • Inform pediatrician to be present in the labour room.
  • Give lithotomy position to the patient.
  • Clean patient’s vulvar area thoroughly.
  • Drape with sterile towel using aseptic technique.
  • Empty the bladder with plain catheter to prevent trauma on bladder.
  • Perform PV examination to confirm the station and position of fetal head.
  • Reassure the patient throughout the procedure.
  • Monitor the vital signs of patient closely.
  • Inform doctor immediately if any deviation in parameters is noted.
  • Assist doctor throughout the procedure.
  • Receive the baby and help in resuscitation accordingly.
  • Watch for injuries / complications of procedure in the baby i.e. Cephalic hematoma, Lacerations, etc. and inform the doctor.
  • Assist doctor the episiotomy suturing.
  • Provide comfortable position to the mother after the procedure.
  • Provide postnatal care as discussed above.

Documentation

  • Nurse’s Observation Sheet.
  • Billing Record Data.