Review of instrumental vaginal delivery at the Obafemi Awolowo University teaching hospitals complex

Sowemimo, Oluwaseun; Abdur-Rahim, Zainab Foyeke; Kolawole, Olatokunbo Olayiwola; Ayegbusi, Ekundayo O.; Archibong, Michael S.; Igbodike, Emeka Philip; Fasubaa, OB

doi:10.4103/tjog.tjog_51_18

Cited by 2 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Male babies constituted 52.6% (1422/1762) of the babies born and concerning NICU admission, 12.5% of them were admitted to the unit and this was significant ( p = 0.003) when compared to their female counterparts. Birth asphyxia at birth was assessed to be severe in 3.2% (56) and moderate in 32.2% (567) of the babies, of which 50.0% 13 and 78.3% (444) of these babies were admitted to the NICU respectively. Five minutes after delivery, the rate of asphyxia reduced to 2.0% 14 for severe asphyxia and to 7.0% (124) for moderate asphyxia.…”

Section: Resultsmentioning

confidence: 99%

“…This study showed that both cesarean section and instrumental delivery influence NICU admission. A study by Sowemimo et al 13 showed that out of 66 deliveries conducted instrumentally, 45.5% resulted in admission to NICU, also, the risk of adverse neonatal outcome was increased in mothers who had cesarean section. 30 Undoubtedly, there could exist some confounding factors beyond the scope of the current study.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pregnancy and the risk of NICU admissions in Nandom Municipality of Ghana: A cross‐sectional retrospective study

Ziem

Saaka

Vicar

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

Background Neonatal intensive care units (NICU) are specialized units that provide medical attention to neonates, and thus have become a vital aspect in the provision of critical care to infants who are faced with special challenges following birth. Aim To determine antepartum and intrapartum factors that predispose to NICU admissions in the Nandom Municipal of the Upper West Region of Ghana. Method This was a cross‐sectional retrospective study, spanning from January 1, 2021 to December 31, 2021. Records covering 1777 women who were delivered or had their babies referred to the St. Theresa's Hospital in the Nandom Municipality were involved in the study. Descriptive statistics and multinomial logistic regression analysis were used to compare variables, and statistical significance was determined where the p‐value was less than 0.05. Results From the study, the rate of NICU admission was 10.4%. There was a significant association between mothers who attended less than four antenatal sessions ( p = 0.004) and admission to NICU. Nulliparous mothers ( p = 0.027) and mothers who presented with multiple pregnancy ( p < 0.001) were more likely to have their babies sent to NICU. Both preterm delivery ( p < 0.001) and post‐term delivery ( p < 0.001) were prone to admission to NICU. Also, instrumental delivery ( p < 0.001), cesarean section ( p < 0.001), low birth weight ( p < 0.001), and male infants ( p = 0.003) had an increased risk of being admitted to NICU. Furthermore, severe ( p < 0.001) and moderate ( p < 0.001) birth asphyxia in the first minute following delivery were significantly associated with NICU admission whereas severely asphyxiated babies at 5 min ( p < 0.001) were associated with NICU admission. Conclusion The study revealed a relatively high NICU admission rate in the study area, and the predictors are multifaceted. Tailored intervention programs aimed at curbing these predictors will be required to reduce the rate of NICU admissions in the Nandom Municipality of Ghana.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pregnancy and the risk of NICU admissions in Nandom Municipality of Ghana: A cross‐sectional retrospective study

Ziem

Saaka

Vicar

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

show abstract

Join point trends of instrumental vaginal deliveries and cesarean sections at the Lagos University Teaching Hospital, Lagos, Nigeria (2002–2017)

Olamijulo,

Aliyu,

Olorunfemi

et al. 2024

Intl J Gynecology & Obste

View full text Add to dashboard Cite

ObjectiveTo determine the trends of instrumental vaginal delivery (IVD) and cesarean section (CS) at the Lagos University Teaching Hospital (LUTH), Nigeria, over 16 years, from 2002 to 2017.MethodsA retrospective cross‐sectional study. The case records of all women who had IVD and CS during the study period were reviewed. The trends in the IVD and CS rates were evaluated using join point regression modeling. The average annual percent change (AAPC) and annual percent change (APC) with associated 95% confidence interval of segmental trends were calculated.ResultsThe overall IVD rate was 1.36%. Vacuum delivery rate was higher than forceps (0.79% vs 0.57%). The CS rate was 44.9 per 100 deliveries; the rate increased by about 3.7% per annum. CS rates were 7.1–89.9 times the IVD rates within the study period. The number of IVDs performed in the hospital declined by about 83.02%, from 53 cases in 2002 to nine cases in 2017. Forceps delivery declined at a faster rate than vacuum delivery between 2002 and 2017 (AAPC for forceps: −12.6% [−17.5 to −7.5], P < 0.001 vs AAPC for vacuum: −6.2% [−14.3 to 2.7], P = 0.200). The commonest indication for IVD was prolonged second stage of labor (47/162, 29.01%) and shortening of the second stage of labor for maternal conditions (47/162, 29.01%).ConclusionIVD rates are low and declining at LUTH. There is need to train accoucheurs on the safe use of IVDs to potentially reduce the CS rate.

show abstract

Review of instrumental vaginal delivery at the Obafemi Awolowo University teaching hospitals complex

Cited by 2 publications

References 3 publications

Pregnancy and the risk of NICU admissions in Nandom Municipality of Ghana: A cross‐sectional retrospective study

Pregnancy and the risk of NICU admissions in Nandom Municipality of Ghana: A cross‐sectional retrospective study

Join point trends of instrumental vaginal deliveries and cesarean sections at the Lagos University Teaching Hospital, Lagos, Nigeria (2002–2017)

Contact Info

Product

Resources

About