The Prevalence of Vacuum-Assisted Vaginal Delivery and Its Associated Short-Term Maternal and Foetal Outcomes at a Tertiary Hospital in the Copperbelt Province, Zambia  

作　　者：Emmanuel Chongwe Imukusi Mutanekelwa Jonathan Gwasupika Ruth L. Mfune Ephraim Chikwanda Bright Mukanga Maisa Kasanga Steward Mudenda Morgan Mweene Sebastian Chinkoyo Mabvuto Zulu Victor Daka Emmanuel Chongwe;Imukusi Mutanekelwa;Jonathan Gwasupika;Ruth L. Mfune;Ephraim Chikwanda;Bright Mukanga;Maisa Kasanga;Steward Mudenda;Morgan Mweene;Sebastian Chinkoyo;Mabvuto Zulu;Victor Daka(Marybegg Health Services, Solwezi, Zambia;Public Health Department, Michael Chilufya Sata School of Medicine, Copperbelt University, Ndola, Zambia;Clinical Sciences Department, Tropical Diseases Research Centre, Ndola, Zambia;Department of Pathology and Microbiology, University Teaching Hospitals, Lusaka, Zambia;Department of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia;Ndola Teaching Hospital, Ndola, Zambia;Clinical Sciences Department, Michael Chilufya Sata School of Medicine, Copperbelt University, Ndola, Zambia)

机构地区：[1]Marybegg Health Services, Solwezi, Zambia [2]Public Health Department, Michael Chilufya Sata School of Medicine, Copperbelt University, Ndola, Zambia [3]Clinical Sciences Department, Tropical Diseases Research Centre, Ndola, Zambia [4]Department of Pathology and Microbiology, University Teaching Hospitals, Lusaka, Zambia [5]Department of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia [6]Ndola Teaching Hospital, Ndola, Zambia [7]Clinical Sciences Department, Michael Chilufya Sata School of Medicine, Copperbelt University, Ndola, Zambia

出　　处：《Open Journal of Obstetrics and Gynecology》2025年第1期30-43,共14页妇产科期刊(英文)

摘　　要：Background: The maternal and neonatal morbidity caused by prolonged labour, maternal exhaustion and other factors push clinicians to speed up the delivery process by employing equipment such as vacuum suction or forceps to save the newborn. The purpose of this study was to determine the prevalence of vacuum-assisted vaginal delivery (VAVD) and its associated short-term maternal and neonatal outcomes at Ndola Teaching Hospital. Methods: A retrospective cross-sectional descriptive study through the analysis of routine data for women with singleton-term pregnancies who delivered by vacuum compared with spontaneous vaginal delivery was done at a tertiary hospital for the years 2020 and 2021. Chi-square and Logistic regression were used to investigate factors of vacuum delivery and to adjust for potential confounders. Results: Results showed that VAVD was mostly performed in women who had delayed second stage of labour (25.4%), maternal exhaustion (16.0%), foetal distress in the second stage of labour (12.3%). The overall VAVD prevalence was 3.7% (581/15591). Logistic regression showed that multiparous women were noted to be 87.5% (aOR 0.125;95% CI 0.025 - 0.629;p = 0.012) less likely to undergo VAVD compared to nulliparous women. Registrars were almost 6 times (aOR 5.650;95% CI 1.458 - 22.222, p = 0.012) more likely to conduct VAVD compared to midwives. Episiotomy was 3 times (aOR 3.390;95% CI 1.185 - 9.524;p Conclusion: The findings indicate the underutilisation of VAVD at NTH based on the low prevalence of 3.7%. VAVD outcomes were affected by multiparity, skill level and Episiotomy procedure, in addition, VAVD influenced admission to the NICU. Hence, there is a need to increase skills in VAVD among first-line healthcare workers such as midwives and intern doctors.Background: The maternal and neonatal morbidity caused by prolonged labour, maternal exhaustion and other factors push clinicians to speed up the delivery process by employing equipment such as vacuum suction or forceps to save the newborn. The purpose of this study was to determine the prevalence of vacuum-assisted vaginal delivery (VAVD) and its associated short-term maternal and neonatal outcomes at Ndola Teaching Hospital. Methods: A retrospective cross-sectional descriptive study through the analysis of routine data for women with singleton-term pregnancies who delivered by vacuum compared with spontaneous vaginal delivery was done at a tertiary hospital for the years 2020 and 2021. Chi-square and Logistic regression were used to investigate factors of vacuum delivery and to adjust for potential confounders. Results: Results showed that VAVD was mostly performed in women who had delayed second stage of labour (25.4%), maternal exhaustion (16.0%), foetal distress in the second stage of labour (12.3%). The overall VAVD prevalence was 3.7% (581/15591). Logistic regression showed that multiparous women were noted to be 87.5% (aOR 0.125;95% CI 0.025 - 0.629;p = 0.012) less likely to undergo VAVD compared to nulliparous women. Registrars were almost 6 times (aOR 5.650;95% CI 1.458 - 22.222, p = 0.012) more likely to conduct VAVD compared to midwives. Episiotomy was 3 times (aOR 3.390;95% CI 1.185 - 9.524;p Conclusion: The findings indicate the underutilisation of VAVD at NTH based on the low prevalence of 3.7%. VAVD outcomes were affected by multiparity, skill level and Episiotomy procedure, in addition, VAVD influenced admission to the NICU. Hence, there is a need to increase skills in VAVD among first-line healthcare workers such as midwives and intern doctors.

关 键 词：Operative Vaginal Delivery Vacuum-Assisted Vaginal Delivery MATERNAL Neonatal Outcomes Zambia 

分 类 号：F42[经济管理—产业经济]