The Kielland's forceps are a potentially dangerous instrument in unfamiliar hands. However, when used correctly and with gentleness they can achieve a controlled, atraumatic delivery.
Kielland's forceps help to minimise the following risks that can occur with manual rotation:
- the baby rotating back to a malposition following manual rotation
- cord prolapse following disimpaction of the head
- complete disimpaction of the head out of the pelvis – too high for a safe forceps delivery.
Only persons competent to perform Kielland's forceps should practice them unsupervised as specific techniques are required and they have been associated with serious maternal and neonatal trauma.
Kielland's forceps should only be performed in theatre with tested, effective, regional anaesthesia.