title: Use and safety of Kielland's forceps in current obstetric practice.
abstract: OBJECTIVE
  We sought to evaluate the use and safety of Kielland's rotational forceps for delivery in current obstetric practice at a tertiary care obstetric unit.
  
  
  METHODS
  Data were obtained pertaining to all such attempted deliveries from 1997 through 2011. The outcomes analyzed included maternal obstetric features, induction and duration of labor, use of analgesia, fetal position and station, birth weight, seniority of the obstetrician, success and failure rates, and associated maternal and neonatal morbidity.
  
  
  RESULTS
  There were 144 cases, of which 129 resulted in successful vaginal delivery (89.6%) and 15 were unsuccessful (10.4%). A senior obstetrician was present at all deliveries. The maternal morbidity was relatively low: third-degree or fourth-degree tear less than 1%, postpartum hemorrhage 12.4%, and urinary incontinence 7.8%. There were no cases of forceps-related neonatal trauma or hypoxic-ischemic encephalopathy.
  
  
  CONCLUSIONS
  Contrary to earlier reports, in these circumstances, use of Kielland's forceps is associated with a high successful delivery rate and apparently low maternal and neonatal morbidity.
  
  
  METHODS
  III.
authors.affiliation: Department of Obstetrics & Gynaecology, Clinical Science Institute, National University of Ireland, Galway, Ireland.
authors.forename: Naomi
authors.initials: N
authors.lastname: Burke
authors.forename: Katie
authors.initials: K
authors.lastname: Field
authors.forename: Fakhra
authors.initials: F
authors.lastname: Mujahid
authors.forename: John J
authors.initials: JJ
authors.lastname: Morrison
mesh_terms: D000328:Adult; D001034:Apgar Score; D001724:Birth Weight; D005113:Extraction, Obstetrical / Q000009:adverse effects* / Q000295:instrumentation / Q000706:statistics & numerical data; D005260:Female; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D007231:Infant, Newborn; D007494:Ireland; D016015:Logistic Models; D007744:Obstetric Labor Complications / Q000453:epidemiology / Q000209:etiology; D009772:Obstetrical Forceps / Q000009:adverse effects* / Q000706:statistics & numerical data; D009775:Obstetrics and Gynecology Department, Hospital / Q000706:statistics & numerical data; D017063:Outcome Assessment, Health Care; D011247:Pregnancy; D011644:Puerperal Disorders / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D014549:Urinary Incontinence / Q000453:epidemiology / Q000209:etiology