Forceps Delivery

  1. Assisting With Forceps Delivery
  2. Check with the practitioner regarding type of forceps needed and place them in room.
  3. Perform hand hygiene and apply clean gloves.
  4. Set up delivery instruments.
  5. Remove gloves and discard in proper trash receptacle. Perform hand hygiene and apply clean gloves.
  6. Have the patient empty her bladder.
  7. Assist the patient in placing legs in stirrups.
  8. Cleanse perineal area and perform perineal preparation, if applicable.
  9. Remove gloves and discard in proper trash receptacle.
  10. Perform hand hygiene and apply clean gloves.
  11. Verify the patient's identity using two patient identifiers in accordance with institutional policy.
  12. Notify the practitioner and patient when contractions are occurring.
  13. Assist the patient with pushing efforts. Reassure the patient and support person, and keep the patient informed of her progress when pushing.
  14. Confirm that informed consent for procedure has been obtained prior to the forceps attempt, although the procedure may need to be performed emergently or after the mother has been medicated. Some institutions may require a written consent.
  15. Assist the practitioner as needed during forceps delivery. Place stool at bedside in preparation for possible shoulder dystocia and the need for suprapubic pressure.
  16. Continue fetal monitoring per institutional policy and practitioner's order. Nonreassuring FHR patterns or an FHR lower than 100 BPM should be reported promptly to the practitioner.
  17. Remove gloves and discard in proper trash receptacle. Perform hand hygiene and apply clean gloves.
  18. Assess the mother and infant for trauma.
  19. Remove gloves and discard in proper trash receptacle. Perform hand hygiene.
  20. Document the procedure in the patient's record.
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