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Article: Three pulls, three hours of pushing the limit in operative vaginal delivery: expert opinion.(Obstetrics)
- Article from:
- OB GYN News
- Article date:
- February 1, 2004
- Author:
CopyrightCOPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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MAUI, HAWAII -- When considering the safety of an operative vaginal delivery, the magic number seems to be three.
Results of three studies in recent years show that risks increase significantly with attempted operative vaginal delivery if the mother has been pushing in labor for longer than 3 hours or if the physician pulls more than three times on the fetus with forceps or a vacuum extractor, Dr. Michael Belfort said at a conference on obstetrics, gynecology, perinatal medicine, neonatology, and the law.
The number one also plays an important role. One instrument should be used, not sequential instruments, and the one doing the pulling (the physician) ...