A comparative study of feto-maternal outcome in instrumental vaginal delivery

被引：11

作者：

Abha S. ^{[1
]}

Pratibha R. ^{[1
]}

机构：

[1] Department of Obstetrics and Gynaecology, Pt. J.N.M. Medical College, Dr. B.R.A.M Hospital, Raipur, Chhattisgarh 492001, E-8, Shankar Nagar

来源：

The Journal of Obstetrics and Gynecology of India | 2011年 / 61卷 / 6期

关键词：

Forceps; Maternal morbidity; Neonatal outcome; Vacuum extraction;

D O I：

10.1007/s13224-011-0119-3

中图分类号：

学科分类号：

摘要：

Objective To compare maternal and neonatal outcomes of vacuum versus forceps application in assisted vaginal delivery. Material and Method Women in labor with vertex presentation were delivered by vacuum and forceps. A total of 120 cases were included in this prospective study. Maternal and neonatal morbidity were compared in terms of perineal lacerations, episiotomy extension, post-partum hemorrhage, Apgar score, instrumental injuries, NICU admissions PNM etc. χ2 test was used to analyze the data. Observations Maternal morbidity viz. episiotomy extension as well as first and second degree perineal tear were significant in the forceps group (P = 0.0001 and P = 0.02, respectively). With regards to neonatal morbidity, no statistically significant difference was noted. Conclusion Vacuum and forceps should remain appropriate tools in the armamentarium of the modern obstetrician. However, ventouse may be chosen first (if there is no fetal distress) as it is significantly less likely to injure the mother. . © 2012 Federation of Obstetric & Gynecological Societies of India.

引用

页码：663 / 666

页数：3

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