A primigravida is in second stage of labour since 1 hr. On examination the leading point of fetal skull is at +2 station and rotation is 450 sho. This can fuher be managed by
The patient fulfills the criteria for applying low forceps The criteria for applying low forceps - (1) Leading point of fetal skull at station+ 2 cm and not on the pelvic floor, (2) Rotation is 45o or less. If the fetal head is at station below this or rotation doesn't exceed 45o, then one can apply outlet forceps. A: Unrotated head in transverse position B: 45 degree sho of complete rotation C: fully rotated head (ideal for application of forceps) In modern obstetrics there is no role of midcavity or high forceps, i.e. only station +2 and below are extracted with forceps (low and outlet forceps)
Applying outlet forceps
Applying low forceps
Applying mid forceps
Applying high forceps
Labour - normal, abnormal, malposition, malpresentation and their management