What instrument is specifically used in breech delivery?

The use of Piper forceps is specifically indicated in breech delivery due to their design, which helps in the safe extraction of the fetus when it is in a breech presentation. A breech presentation occurs when the fetus is positioned to deliver the buttocks or feet first rather than the head. Piper forceps have a curved shape that allows the clinician to grasp the fetal legs and facilitate delivery while minimizing trauma to the fetus and laboring person.

They are strategically used to provide traction during the second stage of labor, ensuring that the fetal body can be delivered smoothly. This instrument is particularly valuable in situations where additional support is needed to navigate the delivery of a breach fetus and to assist in proper positioning. Other instruments, such as forceps and vacuum extractors, are primarily designed for head presentations and might not be effective or safe for use in breech deliveries. Scissors have no role in actively facilitating the delivery itself, as they are typically used for cutting the umbilical cord or for other surgical needs rather than for aiding in the extraction of a fetus.