During assisted breech delivery, the aftercoming head of a term fetus fails to deliver with the Mauriceau-Smellie-Veit maneuver. Which forceps are classically used for the aftercoming head?

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

Explanation

Piper forceps have long shanks and backward-angled handles designed to reach the aftercoming head deep in the pelvis around the fetal body, protecting the head and controlling delivery. Kielland forceps are for rotation of the vertex, Neville-Barnes are conventional curved obstetric forceps for cephalic presentation, and Wrigley forceps are short outlet instruments unsuitable for the aftercoming head.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.