Abha Singh1, Pratibha Rathore. 1. Department of Obstetrics and Gynaecology, Pt. J.N.M. Medical College & Dr. B.R.A.M Hospital, E-8, Shankar Nagar, Raipur, Chhattisgarh 492001 India.
Abstract
OBJECTIVE: To compare maternal and neonatal outcomes of vacuum versus forceps application in assisted vaginal delivery. MATERIAL AND METHOD: Women in labor with vertex presentation were delivered by vacuum and forceps. A total of 120 cases were included in this prospective study. Maternal and neonatal morbidity were compared in terms of perineal lacerations, episiotomy extension, post-partum hemorrhage, Apgar score, instrumental injuries, NICU admissions PNM etc. χ(2) test was used to analyze the data. OBSERVATIONS: Maternal morbidity viz. episiotomy extension as well as first and second degree perineal tear were significant in the forceps group (P = 0.0001 and P = 0.02, respectively). With regards to neonatal morbidity, no statistically significant difference was noted. CONCLUSION: Vacuum and forceps should remain appropriate tools in the armamentarium of the modern obstetrician. However, ventouse may be chosen first (if there is no fetal distress) as it is significantly less likely to injure the mother.
OBJECTIVE: To compare maternal and neonatal outcomes of vacuum versus forceps application in assisted vaginal delivery. MATERIAL AND METHOD:Women in labor with vertex presentation were delivered by vacuum and forceps. A total of 120 cases were included in this prospective study. Maternal and neonatal morbidity were compared in terms of perineal lacerations, episiotomy extension, post-partum hemorrhage, Apgar score, instrumental injuries, NICU admissions PNM etc. χ(2) test was used to analyze the data. OBSERVATIONS: Maternal morbidity viz. episiotomy extension as well as first and second degree perineal tear were significant in the forceps group (P = 0.0001 and P = 0.02, respectively). With regards to neonatal morbidity, no statistically significant difference was noted. CONCLUSION: Vacuum and forceps should remain appropriate tools in the armamentarium of the modern obstetrician. However, ventouse may be chosen first (if there is no fetal distress) as it is significantly less likely to injure the mother.
Authors: Kitaw Demissie; George G Rhoads; John C Smulian; Bijal A Balasubramanian; Kishor Gandhi; K S Joseph; Michael Kramer Journal: BMJ Date: 2004-07-03
Authors: Yvonne M Cargill; Catherine Jane MacKinnon; Marc-Yvon Arsenault; Elias Bartellas; Sue Daniels; Tom Gleason; Stuart Iglesias; Michael C Klein; Carolyn A Lane; Marie-Jocelyne Martel; Ann E Sprague; Ann Roggensack; Ann Kathleen Wilson Journal: J Obstet Gynaecol Can Date: 2004-08