A prospective study of immediate maternal and neonatal effects of forceps and vacuum assisted deliveries
Journal Title: International Archives of Integrated Medicine - Year 2016, Vol 3, Issue 12
Abstract
Introduction: The unaided human birth process is not perfect. All round the world 10% to20% of all pregnant women receive assistance with their delivery. Aim: This present study was to analyze and study the contribution use of operative forceps with vacuum extractor. Materials and methods: The present prospective study was undertaken in the department of OBG for a period of 2 years. Cases were chosen at random 50 cases of vacuum extraction and 50 cases of forceps delivery were taken and the maternal and fetal outcomes were studied. Results: In the present study, it was observed that 66% of forceps deliveries were primipara and 34% were multipara. In the present study it was observed that occipito anterior position was most common (64%) position observed in forceps. Occurrence of OA position in forceps deliveries was significantly higher p<0.001 when compared to vacuum deliveries. it was observed that 100% of patients in forceps group delivered with 10 cm of cervical dilatation. Majority of forceps deliveries 96% occurred when head was at station +3, 4% forceps deliveries occurred when head was at +2 station. Application of vaccum was significantly more with no caput 58% compared to forceps 32 %. Fetal distress was the indication for 40% in forceps and 38% in vacuum. In the present study it was observed that the number of pulls required to extract the baby was significantly high in vacuum group p<0.001. 46% of forceps delivered babies had a birth weight of 2.6-3.0 kg, 36% of vacuum deliveries had a birth weight between 3.1-3.5 kg. The mean APGAR score at birth for forceps deliveries was 6.54 + 1.47 and vacuum deliveries was 6. 74 + 1.33. There was no significant difference in mean APGAR score at birth in either of the groups p=0.47. The mean APGAR score at 5 min for forceps deliveries was 8.06+1.33 and vacuum deliveries was 8.16+1.34. There was no significant difference in mean APGAR score at 5 min in either of the groups p= 0.71. In the present study there was not much of a variation in terms of maternal or perinatal out come with both the groups. While scalp lacerations, face marks were more common in the forceps groups, vacuum extraction had a slightly higher incidence of cervical laceration and cephalhematoma, though not statistically significant. The incidence of perineal injuries was comparatively higher in the forceps group though significant difference did not exist in terms of maternal outcome. Conclusions: The advantage of vacuum was its ease of application and hence an apparently safe alternative in the hands of poorly trained personnel.
Authors and Affiliations
G Sharmila, Sindhuri GK
Keywords
Related Articles
- EP ID EP505523
- DOI -
- Views 128
- Downloads 0
Neonatal hiatal hernia on CPAP: A rare entity
Herniation of the stomach through the esophageal hiatus can occur as a common Sliding hernia (Type 1) in which the gastro esophageal junction slides into the thorax, or Paraesophageal (Type 2) in which a portion of the s...
A comparative study of I-gel and LMA fastrach as a conduit for blind endotracheal intubation
Background: The most important duty of an anesthesiologist is to protect the patient’s airway and to provide adequate ventilation. The anesthesiologist should be skilled enough to make decisions at the circumstances of d...
Intertrochanteric and subtrochanteric fractures outcome on surgery
Background: Intertrochanteric and subtrochanteric fractures are leading cause of hospital admissions in elderly people. Aim: This study was done to analyze the surgical management of proximal third fractures of femur us...
Prevalence of symptomatic peptic ulcer in diabetes mellitus patients at out patient department of government medical college and hospital in and around villupuram district
Introduction: A peptic ulcer is a sore that forms when digestive juices wear away the lining of the digestive system. A peptic ulcer can occur in the lining of the stomach, duodenum, or lower part of the esophagus. Sympt...
Creatine phosphokinase, lactate dehydrogenase and total leukocyte count during treatment for oral hair dye poisoning
Introduction: Paraphynylenediamine (PPD) in hair dye causes angioneurotic edema leading to acute respiratory distress, rhabdomyolysis, i.e. necrosis of skeletal muscle resulting in acute renal failure and liver injury up...