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After a decline in their use because of reported adverse outcomes and fear of litigation, recent evidence suggests that they may be safe and effective in trained hands and significantly more successful at achieving operative vaginal delivery than either rotational ventouse or manual rotation. This is important because of the increased short and long\u2010term morbidity related to cesarean section compared with the reduced morbidity of subsequent pregnancy after operative vaginal delivery. Kielland's forceps are therefore re\u2010emerging as a useful instrument in the armamentarium of modern obstetrics. Limitations to wider use of Kielland's forceps are the lack of training opportunities as well as that contemporary evidence remains underpowered to detect rare adverse outcomes.<\/jats:p>","DOI":"10.1111\/aogs.12511","type":"journal-article","created":{"date-parts":[[2014,9,19]],"date-time":"2014-09-19T11:52:15Z","timestamp":1411127535000},"page":"8-12","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Kielland's forceps. From controversy to consensus?"],"prefix":"10.1111","volume":"94","author":[{"given":"Zachary","family":"Nash","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology St Thomas' Hospital London UK"},{"name":"King's College London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bassem","family":"Nathan","sequence":"additional","affiliation":[{"name":"Department of Surgery Riverside Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Mascarenhas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology St Thomas' Hospital London UK"},{"name":"King's College London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,10,20]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"34","article-title":"Forhandlinger i Kristiania kirurgiske forening i aaret 1908. 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