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Childbirth

Share experiences and get support around labour, birth and recovery.

forceps birth gone wrong- in the news

37 replies

foreverastudent · 29/09/2010 14:04

www.bbc.co.uk/news/uk-england-humber-11435419

A baby has been left blinded by a botched forceps birth. The most alarming thing about this story for me was that the mother never even consented to the forceps.

OP posts:
MrsC2010 · 01/10/2010 09:28

DD was born using forceps after getting herself into an unhelpful position. She was distressed and we were told they'd give it 2 mins with forceps and if that didn't work straight onto a EMCS. The scariest bit was being told they wouldn't stop to talk the EMCS through if the forceps didn't work, they would just do it. But, 2 massive tugs later and DD appeared, absolutely none the worse for wear. DH tells me the force the surgeon had to apply was quite something. I had a CS level epidural though, I think they were anticipating the forceps not working.

FrameyMcFrame · 01/10/2010 10:04

I believe the Kiellans forceps are banned in some countries. They are the high cavity forceps that my Ds was delivered with.(he was absolutely fine, unmarked and apgar 9).

There was a thread on MN a while back with a link to a Daily Mail article on a baby who died during a Kiellans forcpes delivery. In the end the thread and linked article upset so many people that MNHQ pulled the thread.
The Daily Mail article that was linked to also had a photo of the poor dead baby Shock.

I don't know why the Daily Mail has to be such a sensationalist rag, it is always full of shocking and upsetting stories seemingly aimed at worrying the life out of women...:(

togarama · 01/10/2010 10:23

Occasionally forceps save lives and they need to stay in the toolbox. There are clear guidelines for when and how they should be used.

Sometimes certain birth attendants don't work in compliance with these guidelines and use forceps when not really needed, or in a way which compromises the safety of the baby.

In this case, it seems that the rules weren't followed and a baby has been severely injured.

It's not really a story about forceps at all but about the competence and judgment of the medical staff at this birth.

prettybird · 01/10/2010 10:29

According to my dad (who used to work in a paediatric/maternity hoospital), the inorny is that in America they prefer to use caesarians which have a higher maternal mortality and risk rate precisely because of the fear of litigation ConfusedShockHmm

This is becasue an operational risk can be quantified, the insurers are used to people consenting to operations and the doctor can't be "done" for having taking a por-active approach whereas the use of forceps is a much more subtle skill, even though it has less risk to the mother. And it makes it a vicious circle, as people lose the skill which then makes it more dangerous :(

porcamiseria · 03/10/2010 09:31

awful for them

but lets not demonise forceps, or the hospital

Hulla · 03/10/2010 12:28

Similar to prettybird, I think the other thing with forceps deliveries is that, because of the EU working time directive, it can be difficult for junior doctors to get sufficient practice (particularly High/Rotational foreps like Keillands) and to maintain their skills. They just don't work as many hours as they used to.

At least, that's what I understand to be part of the reason Chelsea & W'Minster no longer use Keillands - opting for CS instead.

Still, very sad about this baby.

DrNortherner · 03/10/2010 12:37

My ds was born with Wrigleys forceps after 3 failed Ventouse attempts, he was a posterior baby and I believe without them I would have needed a C section, only time time was of the essence as ds was becoming distressed.

I don't recall anyone asking my permission however, and neither does dh.

Northernlurker · 03/10/2010 12:42

Forceps have been saving the lives of women and babies for around 300 years. Like everything though it's only as good as the person holding them.

DoomBar · 05/10/2010 13:50

This reply has been deleted

Message withdrawn at poster's request.

Secondtimelucky · 05/10/2010 14:06

Doom - poor you. Are you having decent follow up care?

I had forceps too. I can't say my pelvic floor is in great shape, but that may have been the labour.

What I can say is that forceps were the best decision for the point I had reached. DD was in distress, the doctor was worried he wouldn't get a decent grip with ventouse because of her position and it was actually the least bad bit of a horrible labour.

I haven't read the story as I think it will upset me, but I don't think it's fair to assume that a procedure should be banned because it sometimes has bad outcomes (particularly being clear what your base line to measure against is)

notyummy · 05/10/2010 14:36

Sorry to hear about how the delivery damaged you Doombar.

maxbear · 05/10/2010 20:34

It is terrible for the family and the poor little boy Sad

However, as a midwife I have been present at lots of forceps deliveries most of them cause some bruising to the baby but nothing that lasts more than a few days. I have of course been at more traumatic ones where there has been more bruising and trauma to the mother however these are much less common.

In most circumstances where forceps are used it is by far the safest for the mother and baby. If a section is done when the baby is that low in the pelvis the risks to the mother of having serious bladder damage is high, as is the risk of severe bleeding. In fact a friend of mine had to have a hysterectomy after a section done when she was fully dilated as it was the only way to stop the bleeding. If the babies head is low down and a section is needed the midwife sometimes has to put her hand in the vagina to push the baby's head back up which can sometimes be very difficult and risky for the baby.

When I read birthplans that suggest the mother will not consent to forceps or ventouse but will go for a section instead I just feel that usually these people don't really understand what they are asking. As well as being potentially riskier to the mother and baby it takes much longer to do a section which could endanger the baby further, the recovery is worse for the mother (usually) and future pregnancies and births are more complex. Most women who have a forceps delivery first time around will go on to have a normal birth second time around.

For a forceps delivery that is expected to be uncomplicated a consent form is not usually signed, verbal consent should be obtained. However one should be signed if the mother is transferred to theatre as they are expecting it to be potentially more difficult such as if the head is high or in a difficult postition

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