Effectiveness of forceps delivery in modern day obstetrics


  • Devdatt Laxman Pitale Department of Obstetrics and Gynecology, INHS Asvini, Mumbai, Maharashtra, India




Foetal outcome, Forceps, Maternal outcome


Background: There has been an alarming rise in number of caesarean sections all over the world. Instrumental delivery plays an important role to reduce this trend globally. Forceps delivery though proper training and expertise can definitely reduce the rising caesarean section rates in the modern-day obstetrics. The aim of this study is to study the effectiveness of forceps delivery in modern obstetrics.

Methods: In the present observational study, 20 cases of forceps delivery were studied for maternal and foetal outcomes including postpartum hemorrhage, perineal tears, Apgar score, NICU admissions, birth injury, and mortality.

Results: The most common indication for forceps application was maternal exhaustion (80%) followed by foetal distress. All the cases of forceps application in the present study were associated uneventful vaginal delivery. No any adverse maternal outcomes including perineal tears, post-partum hemorrhage was observed in this study. Average birth weight in the present study was 3.2 kgs and Apgar scores at birth and five minutes was within normal limits. No any birth injury was noted in any of the newborns.

Conclusions: Forceps delivery is a safe and effective option in modern day obstetrics to reduce the alarming rise in rates of caesarean section globally. Training should be encouraged to develop the expertise of this art of forceps delivery.


Caughey AB, Cahill AG, Guise JM, Rouse DJ, American College of Obstetricians and Gynecologists. Safe prevention of the primary cesarean delivery. Am J Obstet Gynecol. 2014;210(3):179-93.

Martin JA, Hamilton BE, Ventura SJ, Osterman JK, Mathews TJ. Births: Final Data for 2011 National Vital Statistics Reports: National Center for Health Statistics. 20213;62(1):1-69.

O'Mahony F, Hofmeyr GJ, Menon V. Choice of instruments for assisted vaginal delivery. Cochrane Data Syst Rev. 2010;11:Article ID CD005455.

Gei AF, Belfort MA. Forceps-assisted vaginal delivery. Obstet Gynecol Clin North Am. 1999;26(2):345-70.

Thomas J, Paranjothy S. National sentinel caesarean section audit report. London: Royal College of Obstetricians and Gynaecologists Clinical Effectiveness Support Unit; 2001.

Murphy DJ, Liebling RE. Cohort study of maternal view son future mode of delivery following operative delivery in the second stage of labor. Am J Obstetr 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.

Nikolov A, Nashar S, Atanasova M, Dimitrov A. Indications for vaginal delivery with forceps application. Akush Ginekol (Sofiia). 2011;50:3-12.

Nkwabong E, Nana PN, Mbu R, Takang W, Ekono MR, Kouam L. Indications and maternofetal outcome of instrumental deliveries at the University Teaching Hospital of Yaounde, Cameroon. Trop Doct. 2011;41:5-7.

Yeomans ER. Operative vaginal delivery. Obstet Gynecol. 2010;115:645-53.

Bollard RC, Gardiner A, Duthie GS, Lindow SW. Anal sphincter injury, fecal and urinary incontinence: A 34-year follow-up after forceps delivery. Dis Colon Rectum. 2003;46:1083-8.

Murphy DJ, Liebling RE, Verity L, Swingler R, Patel R. Cohort study of the early maternal and neonatal morbidity associated with operative delivery in the second stage of labour. Lancet. 2001;358:1203-7.

Chow SL, Johnson CM, Anderson TD, Hughes JH. Rotational delivery with Kielland’s forceps. Med J Aust. 1987;146:616-9.

Johanson RB. Instrumental vaginal delivery. London: Royal College of Obstetricians and Gynaecologists; 2000.

Mesleh RA, Al-Sawadi HM, Kurdi AM. Comparison of maternal and infant outcomes between vacuum extraction and forceps deliveries. Saudi Med J. 2002;23:811-3.

DiMatteo MR, Morton SC, Lepper HS, Damush TM, Carney MF, Pearson M, et al. Cesarean childbirth and psychosocial outcomes: a meta-analysis. Health Psychology. NHS Centre for Reviews and Dissemination. 1996;15:303-14.






Original Research Articles