TITLE:
The Feto-Maternal Outcome in Instrumental Assisted Vaginal Delivery in Parapokar Maternity and Woman Hospital—A Retrospective Study
AUTHORS:
Anita Maharjan, Radhika Kunwar, Rupa Paneru, Sarmila Prajapati, Tripti Shrestha, Umesh Bahadur Bogatee
KEYWORDS:
Instrumental Delivery, Forceps, Vacuum Extraction, Maternal Morbidity, Perinatal Outcomes
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.12,
December
29,
2022
ABSTRACT: 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 3rd/4th 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.