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Survey on the Practice of Forceps Delivery in Public Hospitals in ...

Survey on the Practice of Forceps Delivery in Public Hospitals in ...

Survey on the Practice of Forceps Delivery in Public Hospitals in ...

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<str<strong>on</strong>g>Survey</str<strong>on</strong>g> <strong>on</strong> <strong>the</strong> use <strong>of</strong> forceps delivery <strong>in</strong> s<strong>in</strong>glet<strong>on</strong> cephalicpresent<strong>in</strong>g fetus <strong>in</strong> HA <strong>Hospitals</strong>Name <strong>of</strong> Hospital : QMH / PYNEH / QEH / KWH / PMH / UCH / TMH / PWHName : ___ ___ ___ID No. : X X X ___ ___ ___ ( )Age : ___________Parity :PrimigravidaMultiparous ( previous vag<strong>in</strong>al delivery : Yes / No )Ma<strong>in</strong> <strong>in</strong>dicati<strong>on</strong> for forceps delivery : ( <strong>on</strong>ly <strong>on</strong>e is allowed )Delay <strong>in</strong> sec<strong>on</strong>d stagePoor maternal effortFetal distressShorten <strong>the</strong> sec<strong>on</strong>d stage _________________ ( please specify <strong>in</strong>dicati<strong>on</strong> )Failed V / EO<strong>the</strong>rs : ______________________________ ( please specify )Operator :FHKAMMRCOGPre-MRCOG tra<strong>in</strong>eePre-MRCOG tra<strong>in</strong>ee under direct supervisi<strong>on</strong>

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