A persistent occiput posterior (OP) position is confirmed at full dilatation. The fetal head is at +2 station and caput is present. Manual rotation to occiput anterior position is attempted but fails. Which forceps is most appropriate for rotational delivery?

• A Kielland's forceps ✓
• B Wrigley's forceps
• C Neville Barnes forceps
• D Piper's forceps

Explanation

Kielland's forceps have a sliding lock and minimal pelvic curve, specifically designed for rotational deliveries including persistent OP and OT positions; they can rotate the head before traction. Neville Barnes (Anderson) and Wrigley's are non-rotational outlet forceps. Piper's forceps are specifically designed for delivery of the aftercoming head in breech presentation, not for rotation from OP.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.