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The question as to when the obstetric forceps should be used follows on the assumption that there are times when they are required. Taking for granted this necessity let us briefly refer to it, enumerating in the first place the circumstances and conditions which do not justify the application of the blades.
The forceps should never be used simply to gratify nervous patients, interfering nurses or meddlesome women, nor to save the time of a practitioner, busy or otherwise. The possibility and comparative ease of applying the blades within the partially dilated os is no indication that even the most careful use in such cases may not result in the rupturing of the cervix and other soft parts, exposing the patient to the immediate dangers from hæmorrhage, septicæmia and the various inflammatory conditions, and as well the possibility of life-long suffering.
The indications for the use of the obstetric forceps
STEWART WS. WHEN SHOULD THE OBSTETRIC FORCEPS BE USED? AND WHAT FORM OF INSTRUMENT IS REQUIRED? Read in the Section of Obstetrics and Gynecology at the Fortieth Annual Meeting of the American Medical Association, held at Newport, R. I., June, 1889. JAMA. 1889;XIII(22):770–771. doi:10.1001/jama.1889.02401180012002b
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