The Feto-Maternal Outcome in Instrumental Assisted Vaginal Delivery in Parapokar Maternity and Woman Hospital—A Retrospective Study  

作　　者：Anita Maharjan Radhika Kunwar Rupa Paneru Sarmila Prajapati Tripti Shrestha Umesh Bahadur Bogatee Anita Maharjan;Radhika Kunwar;Rupa Paneru;Sarmila Prajapati;Tripti Shrestha;Umesh Bahadur Bogatee(Department of Obstetrics and Gynecology, Paropakar Maternity and Women Hospital, Kathmandu, Nepal;Kathmandu Model Hospital, Kathmandu, Nepal)

机构地区：[1]Department of Obstetrics and Gynecology, Paropakar Maternity and Women Hospital, Kathmandu, Nepal [2]Kathmandu Model Hospital, Kathmandu, Nepal

出　　处：《Open Journal of Obstetrics and Gynecology》2022年第12期1289-1295,共7页妇产科期刊（英文）

摘　　要：Aim: To determine maternal and neonatal morbidities associated with instrumental vaginal delivery. Methods: This retrospective study consisted of 233 women undergoing instrumental vaginal deliveries from April 2020 to March 2021 at Paropakar Maternity and Women Hospital, a tertiary care hospital in Kathmandu, Nepal. Neonatal and maternal complications were analyzed. Results: Of 233 women, 102 (43.7%) and 131 (56.2%) had vacuum and forceps deliveries, respectively. The use of instruments was more frequent in infants with higher birth weight and gestational age. There were no significant differences in Apgar scores between the two groups. Two main indications of instrumental deliveries were fetal distress and prolonged second stage labor. Forceps, compared with vacuum, more often caused 3^rd/4^th perineal tears, tear extending to fornices, and postpartum hemorrhage. Neonatal outcomes were similar in both types of instrumental deliveries. Conclusion: Instrumental vaginal delivery caused maternal morbidity and procedure/judgment training for it is essential.Aim: To determine maternal and neonatal morbidities associated with instrumental vaginal delivery. Methods: This retrospective study consisted of 233 women undergoing instrumental vaginal deliveries from April 2020 to March 2021 at Paropakar Maternity and Women Hospital, a tertiary care hospital in Kathmandu, Nepal. Neonatal and maternal complications were analyzed. Results: Of 233 women, 102 (43.7%) and 131 (56.2%) had vacuum and forceps deliveries, respectively. The use of instruments was more frequent in infants with higher birth weight and gestational age. There were no significant differences in Apgar scores between the two groups. Two main indications of instrumental deliveries were fetal distress and prolonged second stage labor. Forceps, compared with vacuum, more often caused 3^rd/4^th perineal tears, tear extending to fornices, and postpartum hemorrhage. Neonatal outcomes were similar in both types of instrumental deliveries. Conclusion: Instrumental vaginal delivery caused maternal morbidity and procedure/judgment training for it is essential.

关 键 词：Instrumental Delivery FORCEPS Vacuum Extraction Maternal Morbidity Perinatal Outcomes 

分 类 号：R72[医药卫生—儿科]