Risk Factors and Outcome of Instrumental Vaginal Delivery in BP Koirala Institute of Health Sciences

Dixit, Baburam; Manandhar, Tara; Sitaula, Sarita; Basnet, Tulasa

doi:10.3126/bjhs.v4i2.25438

Cited by 2 publications

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“…8 It is also consistent with the frequencies observed in tertiary care hospitals in Kathmandu and Eastern Nepal. 9,10 Our finding is also comparable to that from the United States Birth Registry of 2017 showing rates of 3.1% among 3.86 million. 11 A recent retrospective population-based cohort study of the US birth records showed that forceps and vacuum delivery decreased significantly in the USA from 2005 to 2013 with rates decreasing to as low as 3.1% in recent times.…”

Section: Discussionsupporting

confidence: 86%

Fetomaternal Outcome in Operative Vaginal Deliveries in a Tertiary Care Centre: A Descriptive Retrospective Study

Joshi¹,

Shrestha²,

Chaudhary³

et al. 2020

JBPKIHS

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Background: Operative vaginal delivery is safe and effctive when applied by well-trained personnel. However, it is an underutilized component of obstetric care. We aimed to estimate the frequency of operative vaginal delivery in a tertiary care center and evaluate the immediate maternal and fetal morbidities. Methods: This descriptive retrospective study was carried out in the Department of Obstetrics and Gynecology, Chitwan Medical College and Teaching Hospital. Medical records of all operative vaginal deliveries conducted from May 2019 to April 2020 were retrieved. Data regarding demography, delivery characteristics, maternal and fetal morbidity and mortality associated with operative vaginal deliveries were collected. Results: The frequency of operative vaginal delivery was found to be 2.3% among 3060 deliveries. It was more commonly used in nulliparous women (n = 54, 76.1%); the commonest age group being 20 to 35 years. The commonest indication was fetal distress (n = 32, 45.1%) followed by prolonged second stage of labor (n = 26, 36.6%). The associated maternal morbidities included postpartum hemorrhage (n = 12, 16.9%), need of blood transfusion (n = 9, 12.7%), fever (n = 6, 8.5%), cervical tear (n = 3, 4.2%) and third/fourth degree perineal tears (n = 3, 4.2%). One neonate had cephalhematoma and 14 neonates (19.7%) needed admission in neonatal intensive care unit. Conclusion: Operative vaginal delivery accounted for 2.3% of the total deliveries and was associated with a few maternal and fetal morbidities.

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Section: Discussionsupporting

confidence: 86%

Fetomaternal Outcome in Operative Vaginal Deliveries in a Tertiary Care Centre: A Descriptive Retrospective Study

Joshi¹,

Shrestha²,

Chaudhary³

et al. 2020

JBPKIHS

View full text Add to dashboard Cite

show abstract

“…However, this report is higher than the studies done in India ( 18 ), Nepal ( 31 ), and Nigeria ( 32 – 34 ). In addition, the finding from this review was high compared to a survey conducted by WHO in nine Asian countries which found a prevalence of 3.2% ( 35 ).…”

Section: Discussioncontrasting

confidence: 79%

Prevalence, indications, and outcomes of operative vaginal deliveries among mothers who gave birth in Ethiopia: A systematic review and meta-analysis

Balis

Debella

Ketema

et al. 2022

Front. Glob. Womens Health

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BackgroundOperative vaginal deliveries represent an alternative to address problems during the second stage of labor. Clinicians have access to two different instruments obstetrics forceps and vacuum which should be conducted with indication. Understanding the pooled prevalence of operative vaginal deliveries, its indications, and outcomes would help in adopting suitable measures to reduce operative vaginal deliveries-related maternal and neonatal complications. Therefore, this systematic review and meta-analysis aimed to determine the prevalence, indications, and outcomes of operative vaginal deliveries among mothers who gave birth in Ethiopia.MethodsA literature search was done through databases such as PubMed, SCOPUS, Web of Sciences, CAB Abstract, and CINHAL (EBSCO) to search studies that have been conducted in Ethiopia. Relevant sources were consulted to retrieve unpublished studies. Original observational studies that reported the prevalence, indication and outcomes of operative vaginal deliveries conducted in the English language were identified and screened. Studies were independently assessed for inclusion, data extraction, and risk of bias.ResultsTwelve studies were reviewed. The overall pooled prevalence of operative vaginal delivery among mothers who gave birth in Ethiopia was 10% (95% CI: 8 to 13) with I2 = 98.82% and a p-value ≤ 0.001. Fetal distress, prolonged labor, and maternal exhaustion were the most common feto-maternal indications of OVDs whereas; neonatal death, poor Apgar score, admission to neonatal intensive care unit, perianal tear, and postpartum hemorrhage were complications that occur following the operative vaginal deliveries in Ethiopia.ConclusionThis systematic review and meta-analysis showed one out of 10 mothers undergo operative vaginal deliveries. Almost all feto-maternal complications that arise following operative vaginal deliveries were preventable. Thus, concerned stakeholders should encourage quality OVDs practice by avoiding unnecessary indications and scaling up the skill of health professionals through special training.Systematic review registrationhttp://www.crd.york.ac.uk/PROSPERO/, identifier CRD42022311432.

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Risk Factors and Outcome of Instrumental Vaginal Delivery in BP Koirala Institute of Health Sciences

Cited by 2 publications

References 0 publications

Fetomaternal Outcome in Operative Vaginal Deliveries in a Tertiary Care Centre: A Descriptive Retrospective Study

Fetomaternal Outcome in Operative Vaginal Deliveries in a Tertiary Care Centre: A Descriptive Retrospective Study

Prevalence, indications, and outcomes of operative vaginal deliveries among mothers who gave birth in Ethiopia: A systematic review and meta-analysis

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