An observational study to evaluate the maternal and neonatal outcome of forceps delivery in a tertiary care government hospital of a cosmopolitan city of India

Lamba, Akanksha; Kaur, Ramanjeet; Muzafar, Zulaihuma

doi:10.18203/2320-1770.ijrcog20160082

Cited by 7 publications

(13 citation statements)

References 12 publications

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“…There are literature data reporting that low Apgar scores, hospitalization in neonatal intensive care unit, and instrument scars are more often seen in the forceps group (26,27). In our study, we observed that the rates of hospitalization in neonatal intensive care unit and injuries of brachial plexus from neonatal complications were more common in the forceps group; however, we did not detect it as statistically significant.…”

Section: Discussioncontrasting

confidence: 86%

Comparison of Maternal and Neonatal Outcomes of Operative Vaginal Deliveries: Vacuum vs. Forceps

Çetin¹,

Bahat²,

Köroğlu³

et al. 2017

Istanbul Med J

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The term operative vaginal delivery refers to a delivery in which the operator uses an instrument to extract the fetus from the vagina. The two alternatives for instrument are vacuum and forceps (1, 2). The surgical alternative to operative vaginal deliveries is cesarean section (3,4).Recently, the rates of birth by cesarean have risen throughout the world. With operative vaginal deliveries, cesarean section can be avoided, as well as morbidity and mortality caused by it. In many studies, the comparison of vacuum and forceps instruments has been made (5-8). In both the methods, the risk for the mother and the fetus rises, compared to spontaneous vaginal deliveries. There are different rates of maternal and neonatal complications listed in the literature. Poor maternal and neonatal outcome has been reported after the consecutive use of vacuum and forceps (9). Moreover, it has been shown that maternal injuries are more frequent and severe. Although operative vaginal delivery rate has not changed over the years, the rate of forceps use has decreased, and the rate of vacuum use has risen (10-11).In the light of such information, it was aimed to compare the indications, complications, and maternal and neonatal results of forceps and vacuum applications in operative vaginal deliveries at our clinic, which is a tertiary health center, considering the literature information. Material and MethodsOur study is a retrospective study that was conducted at İstanbul Kanuni Sultan Süleyman Education and Research Hospital between January 2016 and December 2016. Operative vaginal deliveries were examined from the hospital records following our hospital's ethics committee approval. A total of 105 operative deliveries were performed in our hospital between these dates. Patient consent was obtained before all the procedures. Seven cases were excluded from the study due to missing registries. A total of 98 operative vaginal deliveries were included in this retrospective study. Fifty-five forceps cases and 43 vacuum cases were compared in terms of demographic data, indications, and maternal and neonatal results. Exclusion criteria were multiple pregnancies, preterm birth, and in utero mort fetuses. Comparison of Maternal and Neonatal Outcomes of Operative Vaginal Deliveries: Vacuum vs. ForcepsObjective: A vaginal delivery accomplished using either forceps or vacuum is termed as operative vaginal delivery. The aim of this study is to compare indications of maternal and neonatal outcomes between operative vaginal deliveries using forceps (the forceps group) and vacuum (the vacuum group) at our tertiary institute.Methods: This is a retrospective observational study on operative vaginal deliveries performed between January 2016 and December 2016 at a tertiary hospital in Istanbul. All patients who underwent instrumental vaginal delivery were compared in terms of demographic data, indications, and maternal and neonatal outcomes. Results:The incidence of operative vaginal delivery was 1.4% of all deliveries. Most patients were primigravida....

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Section: Discussioncontrasting

confidence: 86%

Comparison of Maternal and Neonatal Outcomes of Operative Vaginal Deliveries: Vacuum vs. Forceps

Çetin¹,

Bahat²,

Köroğlu³

et al. 2017

Istanbul Med J

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“…In the present study, the prevalence was 5.25% which is higher than that of other studies, Prameela RC et al (2.2%), Lamba A et al (4.2%). 4,5 But the prevalence rate in the current study is very much lower than 8.5% recommended by RCOG and also lower than developed countries. 8 The low prevalence in the current study may be due to the reluctance among the obstetrician to use forceps for the fear of litigation following the poor maternal and fetal outcome after forceps.…”

Section: Discussioncontrasting

confidence: 69%

“…8 The low prevalence in the current study may be due to the reluctance among the obstetrician to use forceps for the fear of litigation following the poor maternal and fetal outcome after forceps. Another reason for low prevalence is due to low use in low resource setting universally as seen in study done by Ameh CA et al 9 Most of the mothers who had forceps delivery, 430 (83%) belong to age group 20-30 years which is same in other studies Lamba A et al (40%), Shameel F et al (87%), Aliyu LD et al (62%) and Demissie K. Rhoads GG et al 5,10,12 The reason of more forceps delivery in age group of 20-30 years of age may be due to the early marriage of women resulting in their first pregnancy in their twenties.…”

Section: Discussionsupporting

confidence: 52%

Forceps deliveries and fetomaternal outcome in modern obstetrics

Okram

Betha

Bodhanapati

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background: In modern obstetrics practice has witnessed an increase in the caesarean section rates everywhere. The incidence of instrumental deliveries varies between 10-12% in UK. The incidence of instrumental deliveries varies between 2.7-5% in India. There is an urgent need to reintroduce instrumental need in the modern obstetrics. Instrumental delivery is one of the basic functions of emergency care according to WHO. This study was done to know the prevalence, indications and fetal outcomes of forceps deliveries.Methods: A retrospective study was conducted at a tertiary teaching hospital, India from January 2014 to December 2018. All cephalic singleton pregnant mothers who underwent forceps delivery after 28 weeks were included. All the forceps delivery done in twins and breech vaginal delivery were excluded. Demographic data, Indication of forceps delivery, maternal complications of forceps delivery like episiotomy extension, cervical tear, vaginal wall tear, PPH and neonatal outcome like low birth weight, NICU admissions, stillbirth, APGAR score at 1 and 5 minutes were recorded. Equal number of mothers of reproductive age group 20-45 ages who underwent normal non breech vaginal deliveries were randomly selected as control.Results: The prevalence of forceps delivery was 5.25%. The most common indication was fetal distress (55%). Most of the mothers were primigravidas in age group 20-30 years (p<0.001). Regarding the neonatal outcome, 72% of the babies were having weight >2.5 kgs. APGAR <7 at 1 and 5 min was not significant.Conclusions: As fetal distress is the most common indication, every obstetrician should learn the skill of forceps delivery and it should not be a dying art.

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“…[22][23][24][25][26][27][28][29] Some authors highlight the risk of vacuum, but vacuum is generally considered as a safe alternative to forceps or with comparable outcomes concerning the neonatal morbidity. In the present study, low Apgar Score at 1 & 5 min, NICU admissions and duration of stay in NICU were non significantly higher after forceps application.…”

Section: Discussionmentioning

confidence: 99%

A comparative study of feto-maternal outcome in instrumental vaginal delivery at tertiary health level hospital in Uttarakhand state

Chaudhari¹,

Bansal²,

Gupta³

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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An observational study to evaluate the maternal and neonatal outcome of forceps delivery in a tertiary care government hospital of a cosmopolitan city of India

Cited by 7 publications

References 12 publications

Comparison of Maternal and Neonatal Outcomes of Operative Vaginal Deliveries: Vacuum vs. Forceps

Comparison of Maternal and Neonatal Outcomes of Operative Vaginal Deliveries: Vacuum vs. Forceps

Forceps deliveries and fetomaternal outcome in modern obstetrics

A comparative study of feto-maternal outcome in instrumental vaginal delivery at tertiary health level hospital in Uttarakhand state

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