Obstetrics & Gynaecology · Labour Abnormalities, Induction and Operative Delivery

Which instrument is specifically designed for rotation of a fetal head from occiput transverse or persistent occiput posterior position at mid-cavity?

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

Explanation

Kielland forceps have a sliding lock that allows independent movement of the blades, minimal pelvic curvature, and directional knobs, features designed specifically for correcting asynclitism and rotating an occiput transverse or posterior vertex to occiput anterior at mid-station. Simpson forceps are classic traction forceps with a fixed English lock, Wrigley are short outlet forceps, and Piper forceps are applied to the aftercoming head of a breech.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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