BACKGROUND: To observe prevalence, characteristics and outcomes associated with operative vaginal birth (OVB). METHODS: We compared spontaneous vaginal birth with OVB. RESULTS: Of 993 women, 759 (76.4%) experienced vaginal birth; 716 were spontaneous (94.3%), 14 (1.8%) underwent forceps-assisted birth and 29 (3.8%) had vacuum assistance. In a multivariable model of OVB (forceps and vacuum), compared with a midwife, general practitioners (OR 5.6, p = 0.04) and integrated emergency surgical officers (OR 42.8, p = 0.001) were more likely to attend. Women experiencing OVB were more likely to receive local anesthesia (OR 3.0, p = 0.009). CONCLUSION: OVB is used sparingly but safely at Mizan-Tepi University Teaching Hospital.
BACKGROUND: To observe prevalence, characteristics and outcomes associated with operative vaginal birth (OVB). METHODS: We compared spontaneous vaginal birth with OVB. RESULTS: Of 993 women, 759 (76.4%) experienced vaginal birth; 716 were spontaneous (94.3%), 14 (1.8%) underwent forceps-assisted birth and 29 (3.8%) had vacuum assistance. In a multivariable model of OVB (forceps and vacuum), compared with a midwife, general practitioners (OR 5.6, p = 0.04) and integrated emergency surgical officers (OR 42.8, p = 0.001) were more likely to attend. Women experiencing OVB were more likely to receive local anesthesia (OR 3.0, p = 0.009). CONCLUSION: OVB is used sparingly but safely at Mizan-Tepi University Teaching Hospital.
Authors: Margo S Harrison; Sarah Saleem; Sumera Ali; Omrana Pasha; Elwyn Chomba; Waldemar A Carlo; Ana L Garces; Nancy F Krebs; K Michael Hambidge; Shivaprasad S Goudar; S M Dhaded; Bhala Kodkany; Richard J Derman; Archana Patel; Patricia L Hibberd; Fabian Esamai; Edward A Liechty; Antoinette Tshefu; Adrien Lokangaka; Melissa Bauserman; Carl L Bose; Fernando Althabe; Jose M Belizan; Pierre Buekens; Janet L Moore; Dennis D Wallace; Menachem Miodovnik; Marion Koso-Thomas; Elizabeth M McClure; Robert L Goldenberg Journal: Am J Perinatol Date: 2018-10-29 Impact factor: 1.862