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Forceps in childbirth
Forceps are a surgical instrument that resembles a pair of tongs and can be used in surgery for grabbing, maneuvering, or removing various things within or from the body.〔Forceps.American Heritage Medical Dictionary 2nd ed. Boston: Houghton Mifflin Co., 2008. 310〕 They can be used to assist the delivery of a baby as an alternative to the ventouse (vacuum extraction) method.
==Structure==
Obstetric forceps consist of two branches that are positioned around the fetal head. These branches are defined as left and right depending on which side of the mother's pelvis they will be applied. The branches usually, but not always, cross at a midpoint which is called the articulation. Most forceps have a locking mechanism at the articulation, but a few have a sliding mechanism instead, allowing the two branches to slide along each other. Forceps with a fixed lock mechanism are used for deliveries where little or no rotation is required, as when the fetal head is in line with the mother's pelvis. Forceps with a sliding lock mechanism are used for deliveries requiring more rotation.〔(Healthline > Types of Forceps Used in Delivery ) February 2006. Reviewer: Douglas Levine, Gynecology Service/Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.〕
The blade of each forceps branch is the curved portion that is used to grasp the fetal head. The forceps should surround the fetal head firmly, but not tightly. The blade characteristically has two curves, the cephalic and the pelvic curves. The cephalic curve is shaped to conform to the fetal head. The cephalic curve can be rounded or rather elongated depending on the shape of the fetal head. The pelvic curve is shaped to conform to the birth canal and helps direct the force of the traction under the pubic bone. Forceps used for rotation of the fetal head should have almost no pelvic curve.〔
The handles are connected to the blades by shanks of variable lengths. Forceps with longer shanks are used if rotation is being considered.〔
抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』
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