A comparative study of feto-maternal outcome in instrumental vaginal delivery at tertiary health level hospital in Uttarakhand state

Chaudhari, Priyanka; Bansal, Neeta; Gupta, Vineeta; Tandon, Archna; Chaudhry, Anjali

doi:10.18203/2320-1770.ijrcog20163169

Cited by 9 publications

(15 citation statements)

References 20 publications

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“…Apgar score at 5 minutes was 7-10 in 80.43% of the babies in our study. The studies by Singh and Rathore 13 and Chaudhari et al 9 also show similar results.…”

Section: Distribution Of Babies According To Apgar Score At 5 Minutessupporting

confidence: 66%

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Outlet Forceps Delivery: Role in Modern Obstetric Practice

Jaiswal¹,

Agrawal²,

Dora³

2018

Journal of South Asian Federation of Obstetrics and Gynaecology

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Aim:The dramatic rise of cesarean section rate is a global problem. The forceps delivery has also led to numerous litigations due to poor fetal and sometimes maternal outcome. Still, it is having a prominent role to reduce the rate of cesarean section deliveries. The aim of this study was to assess feto maternal outcome in outlet forceps delivery.Methods: A prospective cohort study of 92 patients who delivered by outlet forceps conducted in the department of obstetrics and gynecology,

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“…Apgar score at 5 minutes was 7-10 in 80.43% of the babies in our study. The studies by Singh and Rathore 13 and Chaudhari et al 9 also show similar results.…”

Section: Distribution Of Babies According To Apgar Score At 5 Minutessupporting

confidence: 66%

“…As per Table 1, the maternal morbidity in the Shekhar Shashank et al, 6 Lopamudra et al, 7 Iyengar et al, 5 and Lamba et al 8 studies are comparable to our study. But the morbidity in the study of Chaudhari et al 9 is much higher than the rest of the studies.…”

Section: Distribution Of Cases According To Maternal Morbidity In Outlet Forceps Deliverymentioning

confidence: 72%

Outlet Forceps Delivery: Role in Modern Obstetric Practice

Jaiswal¹,

Agrawal²,

Dora³

2018

Journal of South Asian Federation of Obstetrics and Gynaecology

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“… 15 Therefore, the incidence of OVD in our study is considered comparable to nearby developing countries and within the worldwide incidence of 2–15%. 1 This trend may be due to its relative safety, less tendency to use CS, and increment in the number of skilled specialists. At SQUH, the rate of CS has been steady in the last few years (12–15%) due to regular audits for CS cases and training junior staff in OVDs.…”

Section: Discussionmentioning

confidence: 99%

“…12 This agreement can be explained by the recent evidence of decreased maternal trauma with vacuum deliveries compared to forceps deliveries in randomized trials and by the improvement in the technique of vacuum deliveries, especially in the material used for vacuum cups. 1 …”

Section: Discussionmentioning

confidence: 99%

“…Operative or assisted vaginal delivery (OVD) is a vaginal birth in which an instrument is needed to facilitate the delivery and is accomplished using a vacuum device or forceps. 1 Over 700 different types of obstetrical forceps have been known so far in history. 2 Both vacuum and forceps deliveries require a skilled and experienced obstetrician.…”

Section: Introductionmentioning

confidence: 99%

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Maternal and Neonatal Outcomes of Operative Vaginal Deliveries at a Single Tertiary Center

Riyami¹,

Salmiyah²,

Khan³

et al. 2021

Oman Med J

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Objectives: Our study sought to assess the maternal and neonatal outcomes of operative vaginal deliveries (OVDs) at Sultan Qaboos University Hospital (SQUH). We assessed the proportion of OVDs along with the proportion of maternal and neonatal outcomes of kiwi OmniCup vacuum, metal cup vacuum, and forceps deliveries. Methods: We conducted a retrospective cohort study in the Obstetrics and Gynecology Department at SQUH from June 2015 to March 2018. The hospital information system was utilized to obtain records of all women who delivered at SQUH by vacuum or forceps during the study period. We collected data on maternal demographics, maternal and neonatal outcomes, and total number of deliveries. Results: During the study period, 3.8% of deliveries were OVDs. The most common instrument used was the Kiwi OmniCup vacuum device. No significant difference was found between the type of tears and instrument used except perineal tears (p =0.003), which was seen more in the vacuum group, particularly Kiwi OmniCup. Neonatal birth weight (p =0.046) was significantly higher in the metallic vacuum cup group. Thirty-one neonates (6.6%) were admitted to the neonatal intensive care unit, and most were born using Kiwi OmniCup vacuum (67.7%). Conclusions: OVD is an ideal alternative to cesarean section with fewer maternal and neonatal complications in women who cannot deliver spontaneously if performed by a well-trained obstetrician.

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Determinants of fetomaternal complication of instrumental vaginal delivery among women who gave childbirth in Southern Ethiopia: a facility-based cross-sectional study

Israel,

Abayneh,

Utalo

et al. 2023

BMC Res Notes

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Background In Ethiopia, one in five instrumental deliveries among women giving birth resulted in an unfavourable outcome. This study aimed to assess the determinants of feto-maternal complications of instrumental delivery in selected public hospitals of Gamo and Gofa zones, Southern Ethiopia. Methods An institution-based cross-sectional study was conducted among 399 women attending selected public hospitals in the Gamo and Gofa zones. Data were collected using data extraction tools using a systematic random sampling technique. The collected data was entered into Epi-data version 3.1 and then analyzed using SPSS version 25. Logistic regression analysis was conducted to determine an association. Results One hundred eighty-three (45.9%, n = 183/399) instrumental deliveries were found to be complicated. Primigravida women (AOR: 95% CI: 2.21 (1.35, 3.63), infant birth weight (AOR: 95% CI: 2.56 (1.37, 4.77), post-term pregnancy (AOR: 95% CI: 12.77 (2.92, 55.78), and maternal age (AOR: 95% CI: 7.00 (2.16, 22.64) were associated with fetomaternal complications in instrumental delivery among women who gave birth. Conclusions and recommendation A high proportion of women developed fetomaternal complications when compared to local studies. Promotion of antenatal care services, increasing women’s education and empowerment as well as working on capacity building of health care professionals through education and training is cost-effective to reduce the occurrence of fetomaternal complications.

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A comparative study of feto-maternal outcome in instrumental vaginal delivery at tertiary health level hospital in Uttarakhand state

Cited by 9 publications

References 20 publications

Outlet Forceps Delivery: Role in Modern Obstetric Practice

Outlet Forceps Delivery: Role in Modern Obstetric Practice

Maternal and Neonatal Outcomes of Operative Vaginal Deliveries at a Single Tertiary Center

Determinants of fetomaternal complication of instrumental vaginal delivery among women who gave childbirth in Southern Ethiopia: a facility-based cross-sectional study

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