NO DRUG THERAPY IN PRIMARY CARE (RECOGNITION & REFERRAL)
This is an obstetric history record indicating prior assisted vaginal birth by forceps. In primary care, evaluate the patient for long-term maternal pelvic floor complications, including urinary incontinence, fecal incontinence, pelvic organ prolapse, and perineal pain or dyspareunia related to prior third- or fourth-degree tears. In subsequent pregnancies, review the indication for prior operative delivery, confirm maternal perineal healing, and coordinate antenatal care with obstetrics. - Refer
Adult-only condition - paediatric section not applicable
No dose - referral pathway, no medicine given in primary care
This is an obstetric history record indicating prior assisted vaginal birth by forceps. In primary care, evaluate the patient for long-term maternal pelvic floor complications, including urinary incontinence, fecal incontinence, pelvic organ prolapse, and perineal pain or dyspareunia related to prior third- or fourth-degree tears. In subsequent pregnancies, review the indication for prior operative delivery, confirm maternal perineal healing, and coordinate antenatal care with obstetrics.
- A history of forceps delivery raises the relevance of screening for pelvic floor or anal sphincter injury symptoms.
- No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.
- RED FLAG - Follow-up should screen the livebirth child for the neonatal (infant) complications of forceps delivery - facial nerve palsy, ocular trauma, skull fracture, intracranial hemorrhage, subgaleal hematoma - not just the maternal pelvic-floor complications the record currently lists.