Operation:
Indication:
Anaesthetic:
CTG:
VE:
Consent:
Antibiotics:
EBL:
Cord pH:
Neville Barnes
Cleaned and draped in lithotomy
Bladder emptied
Neville Barnes forceps applied and locked easily
Gentle traction applied [X] time[s] with a contraction and maternal pushing. Adequate descent noted
RML episiotomy performed with consent
Controlled delivery of the head
Body followed with the next contraction
No shoulder dystocia
Baby cried at birth
Delayed cord clamping
Placenta and membranes delivered with controlled cord traction
Keillands
Cleaned and draped in lithotomy
Bladder emptied
- Posterior Keillands blade applied directly & anterior blade applied by wandering over the face
- Keillands forceps applied in the direct OP position
Forceps applied and locked easily; asynclitism corrected by sliding
Easy rotation through [X] degrees [clockwise] without resistance
Position confirmed (OA)
Gentle traction applied [X] time[s] with maternal pushing and adequate descent
RML episiotomy performed with consent
Controlled delivery of the head
Body followed with the next contraction
No shoulder dystocia
Baby cried at birth
Delayed cord clamping
Placenta and membranes delivered with controlled cord traction
Perineal repair
Vaginal and rectal examinations performed before and after repair
Anal sphincters intact
Episiotomy repaired in layers with Vicryl Rapide 2-0
Diclofenac given PR
Foley catheter left in situ
Postnatal plan
TWOC and mobilise
LMWH and TEDS
FBC on day 1
Useful notes (O&G, MFM) 