{
  "schema_version": 1,
  "kind": "condition",
  "id": "forceps-delivery-livebirth-record",
  "name": "Forceps delivery record",
  "category": "chronic",
  "sources": "Forceps Delivery - StatPearls - NCBI Bookshelf (NBK538220) - https://www.ncbi.nlm.nih.gov/books/NBK538220/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class WD82.02 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Forceps delivery record - disease-level clinical article (forceps-delivery-livebirth-record-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 777,
      "generic": "No drug therapy in primary care (Recognition & Referral)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "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.",
      "adult_duration": "Refer",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "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.",
      "cautions": [
        "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."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "forceps-delivery-livebirth-record"
    }
  ]
}