Kielland’s forceps: does it increase the risk of anal sphincter injuries? An observational study

Abstract

The incidence of third- and fourth-degree tears following rotational Kielland's forceps delivery and other non-rotational forceps deliveries is comparable.

Rotational forceps versus manual rotation and direct forceps: A retrospective cohort study

“…Importantly, the rates of anal sphincter injury were not significantly different and are comparable to other recent studies in this field (11)(12)(13)(14)24,25).…”

Rotational Forceps Versus Manual Rotation and Direct Forceps: A Retrospective Cohort Study

“…While our study cannot provide direct evidence for any theoretical mechanism, it does illustrate the marked increase in shoulder dystocia across all groups of rotational operative vaginal births utilising forceps. Importantly, the rates of anal sphincter injury were not significantly different and are comparable to other recent studies in this field (11)(12)(13)(14)24,25).…”

Obstetrical and epidemiological factors influence the severity of anal incontinence after obstetric anal sphincter injury

“…[23]. The fact, though, that there is no difference in the perineal tears when different types of forceps are used could imply such a relationship [24]. The results of the current study also suggest that the overall effect of the forceps delivery on the pelvic floor could be clinically significant, which could suggest a preference, if possible, of vacuum-assisted-deliveries compared to forceps in clinical practise.…”