During assisted breech delivery of a term vertex-presenting-by-breech fetus, the aftercoming head is slow to deliver. Which forceps are specifically designed to assist delivery of the aftercoming head?
- A Piper forceps ✓
- B Kielland forceps
- C Simpson forceps
- D Elliot forceps
Correct answer: A. Piper forceps
Explanation
Piper forceps have long shanks with a backward pelvic curvature and are applied from below to the aftercoming head during breech delivery, allowing controlled flexion and reducing the risk of head entrapment and tentorial tears. Kielland forceps are rotational instruments for transverse arrest, Simpson forceps are general-purpose for traction in occiput anterior position, and Elliot forceps are classical instruments for outlet delivery with a firm grip suited to moulded heads.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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