Maternal and perinatal outcome in instrumental vaginal delivery
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 3, Issue 1
Abstract
Background: Amidst the continuing critical interest surrounding the ancient art of instrumental delivery an attempt is being made to study the current institutional status of instrumental vaginal delivery, and its maternal and neonatal outcome. Aims and Objectives: 1) To study the incidence of instrumental vaginal deliveries as practiced for the common indications. 2) To study the outcome of instrumental vaginal deliveries. Material and Methods: This was a prospective interventional study conducted in the study period of 2 Years. Women were recruited only after a written informed valid consent and the mode of attempted instrumental vaginal delivery was in accordance to the operator’s analysis and judgment, Observation: 1) Maximum Women belong to 20-24 age group 2) 79.5% instrumental vaginal delivery were in primigravida women. 3) Incidence of instrumental vaginal delivery was 1.05%. 4) Foetal distress was the commonest indication both in forceps and vacuum group. 5) The success rate of instrumental vaginal delivery was 95.4%. 6) Episiotomy extension was the commonest complication noted in 10.9% of cases. 7) At one minute 29% babies had Apgar score <7. superficial mark, retinal hemorrhage, hyperbilirubinemia were common neonatal morbidity. 8) NICU admission rate was 10.9%. Conclusion: Instrumental vaginal delivery has an on going role in modern obstetrics and is safe and effective mode of delivery in the hand of trained obstetrician when used at right time and with correct technique.
Authors and Affiliations
Qurram Khan, P. E. Bhingare, S N Gadappa, S S Kamath
Keywords
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