Kjelland's forceps differs from standard outlet forceps in that it has a sliding lock mechanism. The primary clinical indication for Kjelland's forceps is:

• A Outlet delivery with occiput anterior position
• B Delivery of the after-coming head in breech
• C Rotation of occiput posterior or transverse position to occiput anterior for delivery ✓
• D Vacuum cup application when scalp edema is present

Explanation

Kjelland's forceps has a sliding lock (rather than a fixed English lock) and minimal pelvic curve, specifically designed for rotation of the fetal head from occiput posterior (OP) or occiput transverse (OT) position to occiput anterior before delivery. The sliding lock allows asynclitism correction during rotation. Piper's forceps is used for the after-coming head in breech. Standard Simpson or Neville Barnes forceps are used for outlet delivery in OA positions.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.