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Samenvatting forceps

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Samenvatting forceps

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  • January 13, 2021
  • 4
  • 2020/2021
  • Summary
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Forceps

Soorten
De tang bestaat uit 2 gedeelten: de linker en een rechter lepel, die sluiten in een slot. Aan de lepels
onderscheidt men de bladen, middenstuk of hals, slot en handvat. De bladen kunnen voorzien zijn
van 2 krommingen. De schedekromming(die de vorm van het hoofd volgt) en de
bekkenkromming(die het verloop van de bekkenas volgt).




Indicaties
Idem als ventouse (en onder zelfde voorwaarden)
+ aangezichtsligging
+ achterkomend hoofd bij stuitbevalling
+ vermoeden stollingsafwijking
+ voor 34 weken

- Prematuriteit
- Can’t push / won’t push:
-cardiale pathologie (cardiomyopathie, kleplijden, PHT,…)
-maternele uitputting
-epilepsie patiënte
-neurologische aandoening
- Extreem caput/beharing waardoor suctie onmogelijk
- Foetale bloedingsneiging (hemofilie, trombocytopenie)


Voorwaarden
- Volledige ontsluiting + gebroken vliezen
- Adequate coöperatie en contracties
- Lege blaas
- Pijnstilling
- Hoofd voldoende ingedaald
- Ok ter beschikking
- Episiotomie
- Anticiperen op schouderdystocie – NLS – PPH

Voorwaarden specifiek voor forceps
- Voorste plaatsing <45 ° van middellijn
- Positiebepaling!

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