Obstetrics & Gynaecology · Labour Abnormalities, Induction and Operative Delivery

Which instrument was specifically designed with a sliding lock and minimal pelvic curvature to allow safe rotation of the fetal head from occipitotransverse or occipitoposterior position at mid-cavity?

  • A Kielland forceps
  • B Simpson forceps
  • C Wrigley forceps
  • D Piper forceps
Correct answer: A. Kielland forceps

Explanation

Kielland forceps have a sliding lock that permits correction of asynclitism and negligible pelvic curvature so the blades can be applied at mid-cavity and rotated to occiputanterior. Simpson forceps have a pronounced pelvic curve and are for traction only, Wrigley are short outlet forceps, and Piper forceps are long-shanked instruments for the aftercoming head in breech delivery.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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