Trends in operative vaginal delivery, 2005–2013: a population‐based study

Merriam, AA; Ananth, CV; Wright, JD; Siddiq, Zainab; D'Alton, ME; Friedman, AM

doi:10.1111/1471-0528.14553

Cited by 87 publications

(54 citation statements)

References 22 publications

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“…An operative vaginal delivery rate of 3.5% was reported in the United States as against a caesarean section rate of 32.8% [22]. Similar trend was also reported from similar studies elsewhere [23] [24] [25]. Both the American College and the Royal College of Obstetricians and Gynecologists continue to support the use of both vacuum and forceps and strongly encourage residency programs to incorporate the teaching of these skills into their curricula [26] [27].…”

Section: Introductionmentioning

confidence: 57%

Declining Rate of Operative Vaginal Deliveries in Nigeria

Anozie¹,

Lawani²,

Onu³

et al. 2018

OJOG

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Background: The application of invasive obstetric procedures has an end point of reducing the Caesarean section rate. The declining rate of use of these procedures is one of the reasons for increasing Caesarean section rates in our environment. Objective: The aim of the study was to determine the practice of operative vaginal deliveries among obstetricians practicing in Nigeria and to evaluate the reasons for non-use of these procedures. Methodology: It was a questionnaire based study. The questionnaires were administered to practitioners of Obstetrics in the various centres in Nigeria. Data was collated and analyzed with Epi-Info statistical software version 7.0 (Center for Disease Control and Prevention, USA), and conclusions were drawn by means of descriptive statistics. Results: A total of 1200 questionnaire were distributed but 1104 were returned and used for analysis. This gave a response rate of 92%. The age distribution of the respondents showed that the 20-30 year age group had the least number of respondents 22 (2%) while 41-50 age group had the highest number of respondents 486 (4%). The majority of the respondents were males 839 (76%). In terms of duration of practice, 449 (40.7%) of the respondents had more than 6 years duration of practice while 256 (23.2) had practiced for less than 3 years. Tertiary centres had highest number of respondents 71.8%. The distribution of the respondents according to the geopolitical zones in Nigeria are; SouthEast (57.6%), South-South (19.6%), South West (11.4%), NorthWest (4.9%), NorthEast (3.8%), North-Central (2.7%).

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Section: Introductionmentioning

confidence: 57%

Declining Rate of Operative Vaginal Deliveries in Nigeria

Anozie¹,

Lawani²,

Onu³

et al. 2018

OJOG

View full text Add to dashboard Cite

show abstract

“…We appreciate the thoughtful comments by Drs Klebanoff and Snowden on our paper, ‘Trends in operative vaginal delivery, 2005–2013: a population based study’. We agree with them that our study in fact does not follow patients over time in that we cross‐sectionally analysed a proportion of the US obstetric population at the time of delivery, and compared findings – in this case operative delivery rates – across years.…”

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confidence: 74%

Authors' reply re: Trends in operative vaginal delivery, 2005–2013: a population‐based study

Friedman

Merriam

Ananth

2017

BJOG

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“…This may, in part, explain the extremely low prevalence of anal sphincter trauma. The proportion of vaginal operative deliveries varies greatly across countries and hospitals and appears to be declining across the globe 37,38 . Performing fewer operative deliveries poses a challenge, as staff will become less skilled, and confident and education opportunities decrease 38 .…”

Section: Discussionmentioning

confidence: 99%

Oxytocin and emergency caesarean section in a medium-sized hospital in Pakistan: A cross-sectional study

Lukasse¹,

Hovda²,

Thommessen³

et al. 2020

Eur J Midwifery

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INTRODUCTION One of the most common complications during labor is prolonged labor (dystocia), which is associated with risks for the mother and fetus. Dystocia is usually treated with oxytocin, which is also used to induce labor. Oxytocin may not have the desired effect of progress and can negatively affect the fetus, thus resulting in an emergency caesarean section (CS). The aim of this study was to describe obstetric practice, use of oxytocin and its association with an emergency CS. METHODS A cross-sectional retrospective register study was conducted that included all women who gave birth during 2014 and 2015 at a hospital in a large city in Pakistan. RESULTS A total of 6652 women gave birth to 6767 newborns, 66.8% were multiparous and 33.2% primiparous women. Of the primiparous women, 78.9% had a spontaneous vaginal birth, 1.2% an elective CS and 14.4% an emergency CS. Of the multiparous women, 81.9% had a spontaneous vaginal birth, 8.0% an elective CS and 6.7% an emergency CS. Operative vaginal birth was 2.1% among primiparous and 0.2% among multiparous women. Oxytocin for induction or augmentation was administered to 60.0% of primiparous and 30.5% of multiparous women. Oxytocin during the first stage of labor was associated with an increased risk for emergency CS for both primiparous and multiparous women. CONCLUSIONS Despite the association between oxytocin and emergency CS, the CS rate was low in this hospital. The majority of the women gave birth vaginally, even with a breech presentation. Few operative vaginal births were performed.

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Trends in operative vaginal delivery, 2005–2013: a population‐based study

Abstract: Forceps and vacuum delivery decreased significantly in the USA from 2005 to 2013.

Cited by 87 publications

References 22 publications

Declining Rate of Operative Vaginal Deliveries in Nigeria

Declining Rate of Operative Vaginal Deliveries in Nigeria

Authors' reply re: Trends in operative vaginal delivery, 2005–2013: a population‐based study

Oxytocin and emergency caesarean section in a medium-sized hospital in Pakistan: A cross-sectional study

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