The Use of Forceps during Labor

Abstract

Hudelist et al (2005) described how forceps delivery is a delicate method that requires precise understanding of the station and presentation of the descending caput and that poor training and knowledge of this method can lead to a higher risk of perineal damage. So it is very important that proper teaching and understanding of how to use forceps is achieved. This may be a possible contributing factor as to why the research by Caughey et al (2007) described how obstetric forceps has decreased in its use since the late 1980s. Simpson and Thorman (2005) stressed the importance of mothers clearly knowing the full benefits, risks, and alternatives of obstetrical interventions, such as with the use of forceps, and practicing their autonomy in making their own decisions, with the father, regarding childbirth. The purpose of this paper is to outline the ethical dilemma of whether forceps delivery is beneficent and nonmaleficent to the mother, or not, through the description of risk factors and benefits of forceps delivery. The parents’ use of autonomy in deciding which method is best for them, as well as describing the nurse’s role as the patient advocate are other topics discussed in this paper.