Operative vaginal delivery in singleton term pregnancies: short-term maternal and neonatal outcomes.

Abstract:

BACKGROUND:The rate of operative vaginal delivery has remained stable the last decade, however the rate of vacuum has increased against forceps application. Different maternal and neonatal outcomes have been proposed by many reports. The aim of the present study is to compare the short term maternal and neonatal outcomes between vacuum and forceps delivery. MATERIAL AND METHODS:We conducted a medical record review of live born singleton, vacuum and forceps-deliveries. Maternal and delivery characteristics were recorded. Maternal and neonatal outcomes were also assessed. Out of 7098 deliveries, 374 were instrument assisted, 324 were conducted by vacuum (86.7%) and 50 by forceps (13.3%). RESULTS:The incidence of 3rd degree lacerations and periurethral hematomas was similar between vacuum and forceps (3.4% vs. 2% and 0.3% vs 0% respectively), while perineal hematomas were more common in forceps compared with vacuum application (2% vs 0.3% respectively), albeit not significantly. The rate of neonates with Apgar scores

journal_name

Hippokratia

journal_title

Hippokratia

authors

Prapas N,Kalogiannidis I,Masoura S,Diamanti E,Makedos A,Drossou D,Makedos G

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

41-5

issue

1

eissn

1108-4189

issn

1790-8019

journal_volume

13

pub_type

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