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Getting to Know Forceps, a Tool Used When Difficult to Birth to Remove a Baby

Occasionally, normal vaginal delivery may experience problems that prevent the baby from being released. In this case, the doctor may help the process of giving birth using a tool in the form of forceps or forceps. No need to worry, because forceps are safe to use and actually help to simplify the labor process. What is the best way to use this tool, and when is the best time?

For more details, various questions and other information about childbirth by forceps will be reviewed in full here. Listen, let's go!

What does it give birth to with forceps?
forceps is a tool shaped like a spoon or clamp forceps with a large size. Forceps has two claws on the right and left, and one handle as the handle.

If you know of other birth aids called vacuum, forceps has the same function. It's just that the forms of the two labor aids are different.

Forceps are tasked to guide the baby in the womb so that he can get out easily through the birth canal during the birth process takes place. Usually, forceps are used when there is a problem that is blocking the baby's discharge.

In fact, the contractions that you are trying to also are not able to remove the baby in the womb. In this condition, the normal childbirth process can be helped by forceps.

Launching from UT Southwestern Medical Center, Julie Y. Lo, M.D, as a specialist in obstetrics and gynecology, explained further about the use of childbirth aids.

Basically, childbirth aids, including the use of forceps, do not really attract the baby. Instead, forceps to give birth actually help direct the baby to get out easily through the vagina but still with a strong urge from the contractions you provide.

Yes, as long as the doctor uses forceps, you still have to push well as you would when pushing normally. So, the combination of strong pressure from contraction with pull from forceps that will facilitate the process of giving birth to a baby.

When are forceps used during childbirth?
Childbirth using forceps is the method chosen when it is time to give birth, but there are no signs of labor. As a result, doctors and medical teams can take the path of childbirth by using forceps so that the baby can be expelled immediately.

There are several conditions for childbirth with forceps, namely:
  • A complete opening has occurred.
  • Fetal enough months (gestational age above 37 weeks).
  • The part of the fetus that is close to the mother's pelvis is the head.
  • The head has come down close to the vagina.
  • Mother's contractions are good and the mother is not restless.
  • The membranes have ruptured.
  • Performed at a referral hospital.
Here are some conditions for childbirth that are recommended using forceps:
  • The baby does not experience any movement at all, even though you have tried to contract many times.
  • There is a problem with the baby's heartbeat, so it must be born soon. But the baby is not in a critical condition.
  • Mothers have certain medical history, such as heart disease, so delivery time should be shortened.
In some cases, vaginal scissors (episiotomy) may have to be done to make the size of the vaginal opening larger. The vaginal scissors procedure is carried along the muscles between the vagina and the anus.

At the end of the delivery process or after the baby has successfully come out, the vagina to the anus can be sewn back to normal.

Are there conditions that are not recommended using forceps?
Forceps can indeed help expedite the process of giving birth normally or through the vagina. However, the Mayo Clinic does not recommend the use of forceps for childbirth under certain conditions.

The use of forceps for childbirth is usually not chosen by doctors with the following delivery conditions:
  • Babies have problems with bone and bleeding disorders, such as osteogenesis imperfecta and hemophilia.
  • The baby's head has not reached the midpoint of the birth canal.
  • The baby's head position is not detected.
  • The baby's shoulders or arms will come out first through the vagina, and not the head.
  • The size of your pelvis does not match the size of the baby's head, so the baby cannot enter the pelvis.
What is the normal delivery process with forceps?
The thought of having a device inserted into the vagina during childbirth might make you a little scared. In fact, you do not need to worry, because the use of forceps is actually safe as long as done by experts.

As an illustration, the following childbirth processes with forceps before, during, and after normal childbirth:

Before using forceps
The medical team will install a catheter to empty the urine from your bladder. Furthermore, the doter may make a vaginal scissor incision in the area between the vagina and the anus.

This aims to facilitate the entry of forceps during childbirth, and make the process of discharge of the baby run smoothly.

During the use of forceps
As with normal childbirth, you should also be in a lying position with your legs wide apart just before using forceps. When you have entered the second stage of normal childbirth, you will routinely experience contractions.

Between contractions, the doctor will insert forceps into the vagina until it touches the baby's head. There are two forceps clipped together by the handle as the handle.

When it enters the vagina, the doctor places one of the captive forceps next to the baby's head. Then the other forceps cap is placed on the other side of the baby's head. Capitan on this forceps is in charge as if holding the baby's head, and locking it while being pulled out.

While you push in accordance with the instructions of the doctor, forceps will be moved to guide the baby out slowly through the birth canal. But sometimes, giving birth with the help of forceps does not always work well.

Alternatively, your doctor may recommend the use of a delivery device with vacuum extraction. However, if this method also does not produce results, caesarean section can be a last resort.

After the use of forceps
Because the process of giving birth normally with forceps involves the use of aids, it is feared there is an injury to the baby's head. So after being born safely, the doctor and the medical team will do a check on the baby's condition.

Not only that, your condition will also be examined after delivery with the help of forceps to find out whether there are complications or not. A vaginal scissors incision that was previously made between the vagina and anus is then sewn and repaired again by the doctor.

Is there a risk of giving birth with forceps?
Childbirth with forceps can at least help facilitate the normal birth process. This is because in certain conditions, giving birth with forceps takes a shorter time so as to minimize the possibility of danger to you and your baby.

However, do not rule out giving birth with forceps can pose a risk of injury, both to you and your baby. The following are the possible risks of childbirth with forceps in infants:
  • Injury to the face due to pressure from forceps.
  • Facial muscle weakness for a while, or paralysis of the face.
  • Skull fracture or crack on the skull.
  • Bleeding in the skull.
  • Body convulsions.

While for you, there are some risks that can occur due to childbirth by forceps, including:
  • Arises pain or pain between the vagina and anus (perineum) after childbirth.
  • Injury to the bladder (urethra) appears.
  • Have urinary incontinence or have difficulty controlling urge to urinate.
  • Anemic due to loss of blood or bleeding during labor.
  • Having uterine rupture or a torn uterus.
  • The ligament muscles that support the pelvis weaken, causing the pelvic position to change from normal.
Even so, serious injuries rarely occur in babies born using forceps. Early in the birth, the baby usually has a small mark on his face as a traces of forceps grip. But over time, the sign will disappear by itself.

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