Forceps Delivery Crushes Baby's Skull, Caused Death

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    http://abcnews.go.com/Health/texas-f...ry?id=21410615This is terrible if true. I have no experience in Obstetrics, any L&D nurses have any thoughts on this?
    TheCommuter and Esme12 like this.
  2. 38 Comments so far...

  3. 3
    Quote from suga_junkie
    Texas Family Alleges Forceps Delivery Crushed Baby's Skull, Caused Death - ABC NewsThis is terrible if true. I have no experience in Obstetrics, any L&D nurses have any thoughts on this?
    no OB exp. here, but, again, we only have patients word.
    BrandonLPN, Esme12, and Rose_Queen like this.
  4. 7
    My thoughts as an OB nurse - yes, it's possible with inappropriate forceps use. Any kind of instrumental delivery has risks. They used to think that a vacuum carried less risk, but I found that under the use of a skilled clinician, forceps are actually safer and more effective. I think in the 90s, forceps went out of favor and may OBs who did their residencies in that era were not skilled in their use and didn't feel comfortable using them. At a private hospital I worked at, of the 8 OBs, only ONE was skilled and comfortable in using a forceps. When I started working at a teaching hospital a few years ago, I found that all the residents are taught how to use forceps safely, and it was always the go-to, not vacuum. The only times I saw a vacuum used was during C-sections. Forceps have a place and should not be banned.

    That said, I have seen and heard of some forceps injuries, both lesser and catastrophic. I personally have seen infants with facial nerve injury due to improper placement of a forceps. A nurse friend told me of a case where the doc was using forceps on a twin, and pulled so hard he internally decapitated the infant. Clearly, a totally egregious misuse of a forceps.

    I remember being in a delivery where the doc was using forceps and the baby's head shot through the perineum so quickly that it totally split her perineum open, and the "POP" noise it made, made us all think that the baby's head was pulled off. I literally thought that is what happened for a moment. Thankfully, the baby was fine, but the woman had 4th degree tears.
    Fiona59, NurseDirtyBird, wtbcrna, and 4 others like this.
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    I know of a friend who is a nurse that had this happen to her baby many many years ago...it was horrible. I didn't have an epidural (when I had my kids they didn't do walking epidurals) because of the increased use of forceps. I went to the FB page Olivia Marie Coats there are pictures of the injury that are quite disturbing. This infants skull was separated from the spinal colum...internal decaptation.

    My heart breaks for this couple.
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    I just read the entire article - where they said he even put his foot up on the bed while he was pulling the baby out - that's what the doc did who internally decapitated the twin I mentioned above. Horrible, horrible malpractice. I'm glad the family realizes that it's the actions of one stupid person, and not all the staff and the hospital. My thoughts go out to the family.
    poppycat, Elvish, Fiona59, and 6 others like this.
  7. 11
    Quote from klone
    I remember being in a delivery where the doc was using forceps and the baby's head shot through the perineum so quickly that it totally split her perineum open, and the "POP" noise it made, made us all think that the baby's head was pulled off. I literally thought that is what happened for a moment. Thankfully, the baby was fine, but the woman had 4th degree tears.
    And it's **** like this that caused me to drop out of midwifery school. When you're in that split second when the baby HAS to come out or it will die, and you're out of options, and you make a decision, and you make a mistake. Holy hell. I know as a midwife I wouldn't be doing instrumental deliveries, and I would have the backup of the OBs, but still. I just decided that my anxiety disorder and stress level couldn't handle that role.
    Everline, Fiona59, ajl009, and 8 others like this.
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    Agree, klone. In 35 years of OB nursing I was deposed twice. In both cases, the doctor did nothing wrong, but got sued anyway because outcome not ideal. That would be a factor for me to not go to midwifery school, too.
  9. 2
    I just read this on FB (you know, the go-to news source for stories like this) and until we hear the hospitals side of things, I refuse to believe every detail of the story being told by the parents. Foot up on the table while using the forceps? Um yeah. I worked in dentistry for MANY years before returning to nursing school, if I had a dime for every time a patient told the story of getting a tooth extracted with a knee on their chest, I'd never have returned to nursing school, I guarantee that!!!
    Not to dismiss or invalidate the feelings of the parents, the loss of a child is unimaginable, but as stated this is just one side of the story.
    Dazglue and Not_A_Hat_Person like this.
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    "We're not mad at hospital, this is not their fault. It is one man's fault," Angie Coats, the baby's grandmother told ABCNews.com. "We only want justice for Olivia; we want the person responsible, which is the doctor. We don't want the hospital being shunned. The hospital is great. The nurses were wonderful. It's not their fault."

    Wow . . . how unusual is it for someone in this position not to blame everyone within 100 yards of the hospital?
    Alley
  11. 0
    As someone who just had a baby (where forceps were mentioned because it was a 'big' baby but never used), I didn't want to click on this thread but curiosity got the better of me and now I'm just so heartbroken for Olivia's family. Sad outcome...


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