The role of forceps in current obstetrics: a retrospective study


  • Megha Agrawal Department of Obstetrics and Gynecology, Amaltas Institute of Medical Sciences, Banger, Dewas, Madhya Pradesh, India
  • Anshul Agrawal Department of Anesthesiology, Amaltas Institute of Medical Sciences, Banger, Dewas, Madhya Pradesh, India
  • Priyanka Gupta Department of Otorhinolaryngology, Amaltas Institute of Medical Sciences, Banger, Dewas, Madhya Pradesh, India
  • Ashish Goyal Department of Anesthesiology, Amaltas Institute of Medical Sciences, Banger, Dewas, Madhya Pradesh, India



Maternal mortality, Obstetric forceps


Background: Forceps has been an integral part of the obstetrician’s armamentarium. Obstetric forceps was designed to assist extraction of the fetal head and thereby accomplish the delivery of the fetus. In this present day when there is universal concern regarding the alarming rise of cesarean section rates, a better understanding of this instrument will help the patient as well as the obstetrician.

Methods: This was a retrospective observational study done over a two-year period. Cases were enrolled in the study after satisfying the inclusion and exclusion criteria. All data compared in terms of age, parity, gestational age, indications, maternal and neonatal outcome.

Results: A total of 1150 antenatal cases were delivered out of which 42 cases were delivered by outlet forceps. Incidence of outlet forceps was 3.75%. Mean baby birth weight was 3.07 kg. No maternal mortality and morbidity recorded.

Conclusions: Obstetric forceps have a significant place in modern obstetrics as it is a lifesaving procedure for mother and fetus in many situations.


Mishra P. To evaluate the maternal and neonatal outcome after Forceps delivery. International Journal of Health and Clinical Research, 2020;3(7):212-7.

Belfort M. Operative vaginal delivery. ACOG Pract Bull. 2000;17:36-9.

American College of Obstetrics and Gynecology. Operative vaginal delivery. Clinical management guidelines for obstetrician-gynecologists. American College of Obstetrics and Gynecology. Int J Gynaecol Obstet. 2001;74(1):69-76.

Johnson JH, Figueroa R, Garry D, Elimian A, Maulik D. Immediate maternal and neonatal effects of forceps and vacuum-assisted deliveries. Obstet Gynecol. 2004;103(3):513-8.

Miller ES, Barber EL, McDonald KD, Gossett DR. Association between obstetrician forceps volume and maternal and neonatal outcomes. Obstet Gynecol. 2014;123(2.1):248-54.

Chowdhury RR, Chowdhury S. A retrospective study on feto-maternal outcome of forceps delivery in JNM Hospital, Kalyani. Int J Gynaecol. 2019;11(2):51-4.

Borello-France D, Burgio KL, Richter HE, Zyczynski H, FitzGerald MP, Whitehead W, et al. Fecal and urinary incontinence in primiparous women. Obstet Gynecol. 2006;108(4):863-72.

Fenner DE, Genberg B, Brahma P, Marek L, DeLancey JO. Fecal and urinary incontinence after vaginal delivery with anal sphincter disruption in an obstetrics unit in the United States. Am J Obstet Gynecol. 2003;189:1543-9.

Pitale DL. Effectiveness of forceps delivery in modern day obstetrics. Int J Reprod contracept Obstet Gynecol. 2020;9:2836-9.

Murphy DJ, Liebling RE. Cohort study of maternal views on future mode of delivery following operative delivery in the second stage of labor. Am J Obstet Gynecol. 2003;188:542-8.

Bahl R, Strachan B, Murphy DJ. Outcome of subsequent pregnancy three years after previous operative delivery in the second stage of labour: cohort study. BMJ. 2004;328:311-6.

Philip N, Dhar T. A two year retrospective study on outcome of forceps delivery-rejuvenating a dying art. Int J Reprod Contracept Obstet Gynecol. 2016;5:2810-2.

Jaiswal P, Agrawal S, Dora AK. Outlet forceps delivery: role in modern obstetric practice. J South Asian Feder Obst Gynecol 2018;10(1):328-34.

John LB, Nischintha S, Ghose S. Outcome of forceps delivery in a teaching hospital: a 2 year experience. J Nat Sc Biol Med. 2014;5:155-7.

Iyengar SP, Patel MS. A study of outlet forceps in the modern era. Int J Adv Med. 2015;2:346-9.






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