A decade of instrumental vaginal deliveries in Jos University Teaching Hospital, North Central Nigeria (2007–2016)

Daru, Patrick H.; Egbodo, Christopher O.; Suleiman, MM; Shambe, IH; Magaji, AF; Ochejele, Silas

doi:10.4103/tjog.tjog_38_18

Cited by 4 publications

(11 citation statements)

References 3 publications

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“…Similar reasons for low utilization of IVD were noted by Daru et al in similar studies done at Jos, North central Nigeria. 21 These findings, however, contradicts previous study in northern part of Nigeria that revealed forceps delivery was carried out more than vacuum. 20 Primigravidae are more likely to have dysfunctional labour and an increased need for intervention during labour, which might be the explanation why instrumental vaginal deliveries were carried out more on them.…”

Section: Discussionmentioning

confidence: 74%

“…It is also very much lower than 8.5% recommended by RCOG and also lower than what is reported from developed countries like the UK and the USA. 18,19,[21][22][23][24][25] The rate of forceps delivery (0.30%) in this study is lower than 1.57% reported from Ibadan, Nigeria with better facilities and more experienced personnel. 10 The vacuum delivery rate (0.69%) is also lower than what is reported elsewhere.…”

Section: Discussionmentioning

confidence: 89%

“…In contrary, parity of the parturient from previous studies did not show any correlation with the use of IVD. 4,21 The success and safety of these procedures are based on skill of the operator skill, proper timing, and ensuring that all indications are met before carrying out these procedures. 21 Vacuum was more commonly used than forceps in this study which is in conformity with the reported trend in Africa.…”

Section: Discussionmentioning

confidence: 99%

“…4,21 The success and safety of these procedures are based on skill of the operator skill, proper timing, and ensuring that all indications are met before carrying out these procedures. 21 Vacuum was more commonly used than forceps in this study which is in conformity with the reported trend in Africa. 8 As seen in this study, the instrument of choice in US also, is the vacuum.…”

Section: Discussionmentioning

confidence: 99%

“…The indications for instrumental vaginal deliveries in this study do not differ from those documented in previous studies. 15,17,[20][21][22][23][24][25] Delayed second stage of labour was found to be the most common indication and this may be because it has been demonstrated that there is increased maternal morbidity after 3 hours of the second stage of labour which is further increased after 4 hours. 26 A review of the fetal outcome in this study showed that there were 85 (91.4%) were live birth with 7(7.5%) fresh stillbirth/macerated stillbirth; these deaths were not related to the procedure as the neonates were already dead before the use of the instrument.…”

Section: Discussionmentioning

confidence: 99%

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Outcome of instrumental vaginal delivery in university of Abuja teaching hospital: a five-year review

Jumbo

Ayogu

Abdullahi

2021

Int J Reprod Contracept Obstet Gynecol

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Background: Most women will achieve spontaneous vaginal delivery; however, a few will need assistance in form of Instrumental vaginal delivery (IVD). These are employed to shorten the second stage on labour and to minimize the incidence of cesarean section. The aim of the study was to determine the prevalence and outcomes of instrumental vaginal delivery at the University of Abuja teaching hospital.Methods: This was a retrospective study of women who had instrumental vaginal delivery over a 5-year period at the University of Abuja teaching hospital. Data on socio-demographic variables, type of instrumental delivery performed, Apgar scores of neonates delivered, indications and complication were obtained from the labour ward registers and case notes of patients and entered into a proforma and analysed using SPSS software for Windows version 23.Results: Instrumental vaginal delivery (IVD) rate performed for both Vacuum or Forceps) was 0.99%, Forceps delivery was 0.30% and vacuum accounted for 0.69% of all deliveries. The mean maternal age was 27.53±5.5 years and 51 (54.8%) of the parturient were primigravidae, 55 (59.1%) were booked patients. Delayed second stage of labour (38.7%) was the most common indications for IVD. Maternal complications noted were genital tract laceration 17 (18.3%) and primary post-partum haemorrhage 10 (10.8%). The mean APGAR scores was 6 and 8 in the first and fifth minutes respectively, live births were 85 (91.4%), stillbirths were 7 (7.5%) and one early neonatal death was recorded (1.1%) due to asphyxia as a result of difficult forceps delivery.Conclusions: The IVD rate at UATH is low with good maternal and fetal outcome and preference for vacuum delivery.

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Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Outcome of instrumental vaginal delivery in university of Abuja teaching hospital: a five-year review

Jumbo

Ayogu

Abdullahi

2021

Int J Reprod Contracept Obstet Gynecol

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Prevalence, indications and fetal outcomes of operative vaginal delivery in Sub-Saharan Africa, systematic review, and meta-analysis

et al. 2023

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Purpose This systematic review and meta-analysis is intended to assess the prevalence, indications, and fetal outcome of operative vaginal delivery in sub-Saharan Africa. Method In this study, 17 studies with a total population of 190,900 were included in both systematic review and meta-analysis. Search for relevant articles was done by using international online databases (like Google Scholar, PubMed, HINARI, EMBASE, Web of Science, and African journals) and online repositories of Universities in Africa. The JOANNA Briggs Institute standard data extraction format was used to extract and appraise high-quality articles before being included in this study. The Cochran Q and I2 statistical tests were used to test the heterogeneity of the studies. The publication bias was tested by a Funnel plot and Egger’s test. The overall pooled prevalence, indications, and fetal outcome of operative vaginal delivery along a 95% CI using forest plots and tables. Result The overall pooled prevalence of operative vaginal delivery in sub-Saharan Africa was 7.98% (95% CI; 5.03–10.65; I2 = 99.9%, P < 0.001). The indications of operative vaginal delivery in sub-Saharan African countries include the prolonged second stage of labor 32.81%, non-reassuring fetal heart rate 37.35%, maternal exhaustion 24.81%, big baby 22.37%, maternal cardiac problems 8.75%, and preeclampsia/eclampsia 2.4%. Regarding the fetal outcome, favourable fetal outcomes were 55% (95% CI: 26.04, 84.44), p = < 0.56, I2: 99.9%). From those births with unfavourable outcomes, the need for the resuscitation of new-born was highest 28.79% followed by poor 5th minute Apgar score, NICU admission, and fresh stillbirth, 19.92, 18.8, and 3.59% respectively. Conclusion The overall prevalence of operative vaginal delivery (OVD) in sub-Saharan Africa was slightly higher compared to other countries. To reduce the increased applications and adverse fetal outcomes of OVD, capacity building for obstetrics care providers and drafting guidelines are required.

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Trends and Determinants of Operative Vaginal Delivery at Two Academic Hospitals in Johannesburg, South Africa 2005–2019

Dutywa

Olorunfemi

Mbodi

2022

IJERPH

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Operative Vaginal delivery (OVD) can reduce perinatal and maternal morbidity and mortality especially in low resource setting such as South Africa. We evaluated the trends and determinants of OVD rates using join point regression at Charlotte Maxeke Johannesburg (CMJAH) and Chris Hani Baragwaneth (CHBAH) Academic Hospitals from 1 January 2005–31 December 2019 and conducted a comparative study of OVD (n = 179) and normal delivery (n = 179). Over the 15-year study period (2005–2019), 323,617 deliveries and 4391 OVDs were conducted at CHBAH giving an OVD rate of 1.36 per 100 births. In CMJAH, 74,485 deliveries and 1191 OVDs were conducted over an eleven-year period (2009–2019) with OVD rate of 1.60 per 100 births. OVD rate at CHBAH increased from 2005–2014 at 9.1% per annum and declined by 13.6% from 2014–2019, while OVD rates fluctuates at CMJAH. Of the 179 patients who had OVD, majority (n = 166,92.74%) had vacuum. Women who had OVDs were younger than those who vaginal delivery (p-value < 0.001). The prevalence of OVDs was higher among nulliparous women (p-value < 0.001), HIV negative women (p-value = 0.021), underweight (p-value < 0.001) as compared to normal delivery. The OVD rates has dramatically reduced over the study period This study heightens the need to further evaluate barriers to OVD use in our environment

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A decade of instrumental vaginal deliveries in Jos University Teaching Hospital, North Central Nigeria (2007–2016)

Cited by 4 publications

References 3 publications

Outcome of instrumental vaginal delivery in university of Abuja teaching hospital: a five-year review

Outcome of instrumental vaginal delivery in university of Abuja teaching hospital: a five-year review

Prevalence, indications and fetal outcomes of operative vaginal delivery in Sub-Saharan Africa, systematic review, and meta-analysis

Trends and Determinants of Operative Vaginal Delivery at Two Academic Hospitals in Johannesburg, South Africa 2005–2019

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