Abstract
DeLee's7 recommendation, in 1920, of “prophylactic forceps” to protect the fetal brain was an important milestone in obstetrics. The present study, undertaken to test Dr. DeLee's hypothesis with patient material, analyzes data from the Collaborative Perinatal Project on uncomplicated gravid patients and compares the effects on the fetus of spontaneous delivery and the outlet forceps operation. The offspring of nearly 30,000 gravidas delivered spontaneously or by the low-forceps operation were followed by periodic examinations up to 4 years of age. The data show that the prophylactic forceps operation does not increase the hazard of neonatal death or subsequent neurological impairment of the infant so delivered. Whether the operation is “protective” to the infant is less certain, although the data suggest this possibility.
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