TITLE:
Obstetrical Vacuum Deliveries: Clinical Aspects and Fetal Prognosis in Regional Teaching Hospital of Ouahigouya
AUTHORS:
I. Ouédraogo, A. Dembele, D. P. Kain, S. R. Sib, H. Zamane, S. Kiemtoré, Y. A. Sawadogo, A. Ouattara, S. Y. Kaboré, D. Sourgou, B. Tieba-Bonané
KEYWORDS:
Obstetrical Vacuum, Frequency, Indications, Fetal Prognosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.2,
February
9,
2018
ABSTRACT: Objective: To determine the frequency of obstetrical vacuum deliveries in the
service of obstetrics and gynecology of regional teaching hospital of Ouahigouya
and then to assess fetal outcomes. Patients and Methods: It was about a
cross sectional and descriptive retrospective data collection from 1st January 2014 to 31st December 2016 in the service of obstetrics and gynecology of regional teaching
hospital of Ouahigouya. Patients who had vacuum delivered in the service with single
pregnancy, at least 34 weeks gestation age and summit presentation and had a useful medical folder were included in our study. The data
were collected and the analysis used epi-info software 7.2.1.0. version, 2010 Word and excel. The results
were presented in percentage for qualitative variables and in means standard
deviation for quantitative variables. Results: We have collected 6233
deliveries from 1st January
2014 to 31st December 2016, out of which 312 were done by using
obstetrical vacuum giving a frequency of 5.0%. The mean age of patients was
23.5 ± 6.4 years. The average
parity was 1.3 ± 0.7 women per delivery and 73.1% of our patients were
pauciparous. 90.1% of patients were referred. The main indications were
maternal weakness (43%), fetal distress (36.5%), prolonged expulsive phase
(6.1%), stopping progression (4.8%) and the scar uterus (4.5%). Fetal prognosis was dominated
by the caput in 13 cases (4.2%) and excoriations of the scalp in 5 cases
(1.7%). Conclusion: Vacuum extractions are very limited in low setting
countries. Its popularization is essential to reduce maternal and fetal
mortality.