{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:37:57Z","timestamp":1791401877236,"version":"4.3.3"},"reference-count":13,"publisher":"BMJ","issue":"6388","license":[{"start":{"date-parts":[[1983,7,30]],"date-time":"1983-07-30T00:00:00Z","timestamp":428371200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1983,7,30]]},"abstract":"<jats:p>To assess the risks associated with the use of Kielland's forceps 2708 consecutive deliveries were studied prospectively and the neonatal outcome related to the mode of delivery. Of the 1191 primigravidas, 279 (23.4%) underwent instrumental delivery, of whom 65 (5.5%) were delivered with Kielland's forceps. There was no difference in early neonatal outcome (as judged by Apgar scores, intubations, and admission to the special care baby unit) between these babies and those delivered normally or by non-rotational forceps, but a higher proportion of the 127 (10.7%) delivered by emergency caesarean section were compromised. Of the 1517 multigravid patients, only 57 (3.8%) underwent instrumental delivery, 15 (1.0%) by Kielland's forceps. Among these babies, also, the outcome was no worse than for those delivered normally, but the babies delivered by caesarean section showed a greatly increased incidence of low Apgar scores, intubations, and admission to the special care baby unit. There were no stillbirths or neonatal deaths among babies delivered by Kielland's forceps, nor were there any cases of severe birth trauma or of obvious neonatal morbidity.<\/jats:p>","DOI":"10.1136\/bmj.287.6388.315","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"315-317","source":"Crossref","is-referenced-by-count":41,"title":["Should we abandon Kielland's forceps?"],"prefix":"10.1136","volume":"287","author":[{"given":"L D","family":"Cardozo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D M","family":"Gibb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J W","family":"Studd","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D J","family":"Cooper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[1983,7,30]]},"reference":[{"key":"ref_1","first-page":"82","article-title":"Mid-forceps delivery: is it an anachronism ?","volume":"15","author":"Chez, R.A.; Ekbladh, L.; Friedman, E.A.; Hughey, M.J.","year":"1980","unstructured":"Chez RA, Ekbladh L, Friedman EA, Hughey MJ. Mid-forceps delivery: is it an anachronism ? Contemporary Obstetrics\/Gynaecology 1980; 15:82-100.","journal-title":"Contemporary Obstetrics\/Gynaecology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1136\/bmj.1.6155.7","article-title":"Kielland's forceps: association with neonatal morbidity and mortality","volume":"i:","author":"Chiswick, M.L.; James, D.K.","year":"1979","unstructured":"Chiswick ML, James DK. Kielland's forceps: association with neonatal morbidity and mortality. Br MedJ 1979;i:7-9.","journal-title":"Br MedJ"},{"key":"ref_3","series-title":"Proceedings of a scientific meeting of the Royal College of Obstetricians and Gynaecologists; Outcomes of obstetric intervention in Britain","first-page":"17","article-title":"Forceps delivery-obstetric outcome","author":"Paintin, D.B.; Vincent, F.","year":"1980","unstructured":"Paintin DB, Vincent F. Forceps delivery-obstetric outcome. In: Beard RW, Paintin DB, eds. Outcomes of obstetric intervention in Britain. Proceedings of a scientific meeting of the Royal College of Obstetricians and Gynaecologists. London: RCOG, 1980:17-32."},{"key":"ref_4","first-page":"122","article-title":"A study of the benefits and acceptability of ambulation in spontaneous labour. BrJ7 Obstet Gynaecol","volume":"87","author":"Williams, R.M.; Thom, M.H.; Studd, J.W.W.","year":"1980","unstructured":"Williams RM, Thom MH, Studd JWW. A study of the benefits and acceptability of ambulation in spontaneous labour. BrJ7 Obstet Gynaecol 1980;87:122-5."},{"key":"ref_5","first-page":"33","article-title":"Predictive value of cervimetric labour patterns in primigravidae","volume":"89","author":"Cardozo, L.D.; Gibb, D.M.F.; Studd, J.W.W.; Vasant, R.V.; Cooper, D.J.","year":"1982","unstructured":"Cardozo LD, Gibb DMF, Studd JWW, Vasant RV, Cooper DJ. Predictive value of cervimetric labour patterns in primigravidae. BrJr Med Gynaecol 1982;89:33-8.","journal-title":"BrJr Med Gynaecol"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1136\/bmj.4.5890.451","article-title":"Partograms and nomograms of cervical dilatation in the management of primigravid labour","volume":"iv:","author":"Studd, J.W.W.","year":"1973","unstructured":"Studd JWW. Partograms and nomograms of cervical dilatation in the management of primigravid labour. Br MedJ 1973;iv:451-5.","journal-title":"Br MedJ"},{"key":"ref_7","first-page":"1","article-title":"Correlation of decrease in perinatal mortality and increase in caesarean section rates","volume":"61","author":"O'Driscoll, K.; Foley, M.","year":"1983","unstructured":"O'Driscoll K, Foley M. Correlation of decrease in perinatal mortality and increase in caesarean section rates. Obstet Gynecol 1983;61:1-5.","journal-title":"Obstet Gynecol"},{"key":"ref_8","series-title":"Proceedings of a scientific mzeeting of the Royal College of Obstetricians and Gynaecologists; Outcomes of obstetric intervention in Britain","first-page":"33","article-title":"Forceps delivery-neonatal outcome","author":"Chiswick, M.L.","year":"1980","unstructured":"Chiswick ML. Forceps delivery-neonatal outcome. In: Beard RW, Paintin DB, eds. Outcomes of obstetric intervention in Britain. Proceedings of a scientific mzeeting of the Royal College of Obstetricians and Gynaecologists. London: RCOG, 1980:33-45."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1111\/j.1471-0528.1982.tb03648.x","article-title":"Rotational delivery of the fetus: Kielland's forceps and two other methods compared","volume":"89","author":"Healey, D.L.; Quinn, M.A.; Pepperall, R.J.","year":"1982","unstructured":"Healey DL, Quinn MA, Pepperall RJ. Rotational delivery of the fetus: Kielland's forceps and two other methods compared. Br J Obstet Gynaecol 1982;89:501-6.","journal-title":"Br J Obstet Gynaecol"},{"key":"ref_10","first-page":"28","article-title":"High risk labor","volume":"7","author":"Friedman, E.A.; Sachtleben, M.R.","year":"1971","unstructured":"Friedman EA, Sachtleben MR. High risk labor. Y Reprod Med 1971;7: 28-32.","journal-title":"Y Reprod Med"},{"key":"ref_11","first-page":"779","article-title":"Long term effects on infant. AmJ7 Obstet Gynecol","volume":"127","year":"1977","unstructured":"Long term effects on infant. AmJ7 Obstet Gynecol 1977;127:779-83."},{"key":"ref_12","first-page":"495","article-title":"Mid-cavity forceps delivery. Br 3 Obstet Gynaecol","volume":"89","author":"Paintin, D.B.","year":"1982","unstructured":"Paintin DB. Mid-cavity forceps delivery. Br 3 Obstet Gynaecol 1982;89: 495-6."},{"key":"ref_13","article-title":"Accepted 25","year":"1983","unstructured":"(Accepted 25 April 1983)"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.287.6388.315","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.287.6388.315","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T22:03:53Z","timestamp":1765317833000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.287.6388.315"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1983,7,30]]},"references-count":13,"journal-issue":{"issue":"6388","published-online":{"date-parts":[[1983,7,30]]},"published-print":{"date-parts":[[1983,7,30]]}},"alternative-id":["10.1136\/bmj.287.6388.315"],"URL":"https:\/\/doi.org\/10.1136\/bmj.287.6388.315","relation":{},"ISSN":["0007-1447","1468-5833"],"issn-type":[{"value":"0007-1447","type":"print"},{"value":"1468-5833","type":"electronic"}],"subject":[],"published":{"date-parts":[[1983,7,30]]}}}