Evidence map›Paper›PMID 39686376›Full record

ArticleSensors (Basel, Switzerland)2024

The Development of a Forceps-Adaptable Pressure Device for Instrumental Delivery: A Proof-of-Concept Study for Clinical and Educational Applications.

Mathieu Hivert, Cyril Bengler, Julien De Jonckheere, Franck Gaultier, Marie Pécout, Olivier Mayeur, Chrystèle Rubod

Abstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mathieu HivertJeanne de Flandre Hospital, Faculté de Médecine, University of Lille, Avenue Eugène Avinée, 59000 Lille, France.ORCID 0009-0002-0049-0276
Cyril BenglerJeanne de Flandre Hospital, Faculté de Médecine, University of Lille, Avenue Eugène Avinée, 59000 Lille, France.ORCID 0000-0001-5715-0489
Julien De JonckheereJeanne de Flandre Hospital, Faculté de Médecine, University of Lille, Avenue Eugène Avinée, 59000 Lille, France.ORCID 0000-0002-3727-9434
Franck GaultierCITC Lille, 172 Avenue de Bretagne, 59000 Lille, France.
Marie PécoutJeanne de Flandre Hospital, Faculté de Médecine, University of Lille, Avenue Eugène Avinée, 59000 Lille, France.ORCID 0000-0001-5865-6051
Olivier MayeurLaboratoire de Mécanique Multiphysique Multiechelle (LaMcube), UMR 9013, Centrale Lille, CNRS, Université de Lille, 59000 Lille, France.ORCID 0000-0002-5519-2367
Chrystèle RubodJeanne de Flandre Hospital, Faculté de Médecine, University of Lille, Avenue Eugène Avinée, 59000 Lille, France.ORCID 0000-0002-6242-0014

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop and validate a device that measures the pressure exerted by forceps on the fetal head for clinical use.

backgroundThe lack of clinical tools to quantify forceps pressure on the fetal head may impact maternal and neonatal outcomes. Existing studies have not measured the direct contact pressure between forceps blades and the fetal head, highlighting the need for innovation.

methodsWe integrated fluid pressure transducers into obstetric forceps using fluid-filled tubing encased in flexible silicone socks attached to the blades. Tubing materials-polyvinyl chloride (PVC) and polyurethane (PU)-and fluids (air and water) were tested with both biocompatible and non-biocompatible silicone socks. An onboard electronic board collected pressure data and transmitted them via Bluetooth for real-time analysis. The system was evaluated on a custom-built bench simulating forceps application.

resultsAir-filled tubing exhibited significant drift and low accuracy due to air compressibility. Water-filled PU tubing reduced drift but was still suboptimal. Water-filled PVC tubing with both types of silicone socks provided the best results, showing minimal drift and a strong correlation between measured pressures and applied forces.

conclusionsThe developed device represents a significant advancement, as no existing system measures the pressure exerted by forceps blades on the fetal head. By effectively measuring pressure across the entire contact surface in real time, it offers applications in both training and clinical practice. The device allows for objective feedback, potentially improving the safety and efficacy of forceps deliveries. Future work includes comprehensive mannequin tests and eventual in vivo studies to validate its effectiveness in realistic settings, aiming to enhance obstetric training and reduce maternal and neonatal complications.

Indexed as

Obstetrical ForcepsPressureDelivery, ObstetricEquipment DesignFemaleHumansPolyurethanesPolyvinyl ChloridePregnancyProof of Concept StudySiliconesPolyurethanesPolyvinyl ChlorideSiliconesclinical practicefetal head pressurematernal and neonatal outcomesobstetric instrumentation

Identifiers

PMID39686376
PMCPMC11644934

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.