LESSON PLAN ON POST PARTUM HAEMORRHAGE

Name of the student teacher : Vimla singh

Class : M. Sc. Nursing final Year
No. Of students : 08
Subject : Obstetric & Gynaecological Nursing
Unit :
Date and time : / /
Duration : 45 minutes
Venue : M.Sc. Nursing final Year
Topic : Forceps delivery
Methods of teaching : Lecture cum discussion
Teaching aids : Black Board, Leaflets, PPT, Handouts, Video etc.
General objectives : The students will be able to gain knowledge about the forceps delivery.
Specific objectives : After end of the class the students will be able to understand about the forceps delivery.
 Introduce about the forceps delivery.
 Define the forceps delivery.
 Enlist the types of the forceps delivery.
 Discuss about the action & indications of forceps delivery.
 Describe the prerequisites for forceps application & types of forceps application.
 Explain about the techniques & complications of forceps delivery.
 Discuss the management, advantages & disadvantages of forceps delivery.
 Conclude the topic.
 Ask the Questioners.
 Summarize the topic.
TIME SPECIFIC TEACHERS LEARNERS A.V. EVALUATIO
OBJECTIVE CONTENTS ACTIVITY ACTIVITY AIDS N

2min. Introduce the INTRODUCTION- Lecture cum Students PPT What is the
forceps Forceps are smooth metal instruments that look like large discussion listening forceps
delivery spoons or tongs. They're curved to fit around the baby's head. delivery?
The forceps are carefully positioned around your baby's head
and joined together at the handles. With a contraction and
your pushing, an obstetrician gently pulls to help deliver your
baby.

2min Define the

forceps DEFINITION - Lecture cum Students PPT Define forceps
delivery . discussion listening delivery?

Enlist the TYPES OF FORCEP DELIVERY

2min types of  Long curved obstetric forceps Lecture cum Students PPT Enlist the
forceps  Wrigley’s forceps discussion listening and types of
delivery understandin forceps
 Kielland's forceps
g delivery?
 Piper’s forceps
 Barton's forceps

Discuss about ACTION OF THE FORCEPS What are the

8min the action & Traction: is the main action. Students Show indications of
indications of Rotation: in deep transverse arrest, persistent occipito- Lecture cum listening and in forceps
forceps posterior and mento-posterior. discussion understandin PPT delivery?
 delivery INDICATIONS OF FORCEPS DELIVERY g
 Prolonged 2nd stage
It is prolongation for more than 1 hour in primigravidae or 30
minutes in multiparae. This may be due to: Inertia and poor
voluntary bearing down.
 Large foetus.
 Rigid perineum.
 Malpositions: persistent occipito-posterior and deep
transverse arrest
Maternal indications
Foetal indications
5min Describe the PRE-REQUISITES FOR FORCEPS Lecture cum PPT Prerequisites
prerequisites APPLICATION discussion Students for forceps
for forceps listening and application &
 Anaesthesia: general, epidural, spinal or pudendal
application & understandin types of
block.
types of g forceps
 Adequate pelvic outlet.
forceps applications?
 Aseptic measures.
applications
 Bladder and Bowel evacuation.
TYPES OF FORCEPS APPLICATION
Cephalic application: the forceps is applied on the sides of
the foetal head in the mento-vertical diameter so injury of the
foetal face, eyes and facial nerve is avoided.
Pelvic application: The forceps is applied along the maternal
pelvic wall irrespective to the position of the head. It is easier
for application but carries a great risk of foetal injuries.
Cephalo-pelvic application: It is the ideal application and
possible when the occiput is directly anterior or posterior or in
direct mento-anterior position.

Explain about TECHNIQUE OF FORCEPS DELIVERY Lecture cum Students PPT Complications
8min the techniques In occipito- anterior position discussion listening and with of forceps
& understandin the delivery?
 The left blade is applied first. It is held by its handle
complications g help
of forceps between the thumb and fingers of the left hand almost
parallel with the right inguinal ligament and passed of
delivery
along the left side of the maternal pelvis between the video
guiding palm of the right hand and foetal head.
CLINICAL CHECKS FOR CORRECT
 FORCEPS APPLICATION
 The sagittal suture lies in the midline of the shanks.
 The operator cannot place more than a finger tip
between the fenestration of the blade and the foetal
head.
Kielland forceps in deep transverse arrest
 The forceps is locked outside with the knobs towards
the occiput to know the anterior blade.
 The anterior blade is applied first by one of the
following methods:
a) The wandering method
b) The direct method
c) The old (classical) method
COMPLICATIONS OF FORCEPS DELIVERY
Maternal complications
 Complications of anaesthesia.
 Lacerations:
 Extension of the episiotomy.
 Perineal tear.
 Vaginal tears.
Foetal complications
 Fracture of the skull.
 Cephalohaematoma.
 Intracranial haemorrhage.

Discuss the MANAGEMENT Lecture cum Students PPT Advantages &

8min management, Reassessment: The forceps is removed and the patient is re- discussion listening and & disadvantages
advantages & understandin black of forceps
examined to detect the cause and correct it if possible.
disadvantages g board delivery?
of forceps
Caesarean section: is indicated in uncorrectable causes as
delivery cephalo-pelvic disproportion, and contracted outlet.
Exploration of the birth canal: for any injuries.
2min Summarize SUMMARY Lecture cum Students Black
the topic discussion listening and board Summarized
understandin the topic
g
Difference between forceps delivery & ventouse delivery PPT

1min Assignment
 Given Students
assignment listening

2min Questioner Q. What is forceps delivery? Listening and Student Show Evaluated
session given answer Answer the in
Q. Enlist the types of forceps delivery?
question PPT

BIBLIOGRAPHY
 Dutta D.C. Text Book of Obstetrics, (6th ed.) Calcutta; New Central Book Agency (2009). page no 571-579.
 Jacob A. A Comprehensive Textbook of Midwifery & Gynaecological Nursing, 5th ed. New Delhi; Jaypee Brothers (2019) page no 358-370,

 Sira S and Magon S. Text Book of Midwifery and obstetrics, (3rd ed.) New Delhi Lotus Publishers (2015) page no 757-764 .
 B. T. Basvantthappa. Text Book of Nursing Theories.1st ed. New Delhi. Jaypee publication.