Maternal complication related to instrumental delivery at Felege Hiwot Specialized Hospital, Northwest Ethiopia: a retrospective cross-sectional study

Abstract

Objective The study aimed to determine proportion and risk factors for maternal complication related to forceps and vacuum delivery among mother who gave birth at Felege Hiwot Comprehensive Specialized Hospital (FHCSH). Results Records of 406 mothers managed with instrumental vaginal delivery were reviewed and 97% of the reviewed card had complete documentation. The proportion of maternal complications related to instrumental delivery was 12.1%. A major complication of forceps assisted delivery was 2nd-degree perineal tear (7.4%), 3rd-degree perineal tear (1.5%), cervical tear (1.5%) and episiotomy extension (1%). However, the complication of vacuum-assisted vaginal delivery was only cervical tear (0.5%) and episiotomy extension (0.5%). Episiotomy during instrumental delivery reduce maternal complication by 86% [AOR = 0.14, 95% CI 0.07–0.3]. Forceps assisted vaginal delivery had 3.4 times more risk for maternal complication compared to vacuum-assisted vaginal delivery [AOR = 3.4, 95% CI 1.08–10.67] and the same is true for primiparity that primipara women who gave birth by the help of instrument had 3.5 times more risk for maternal complication compared to a multipara women [AOR = 3.5, 95% CI 1.26–9.98]. Electronic supplementary material The online version of this article (10.1186/s13104-019-4530-7) contains supplementary material, which is available to authorized users.

Maternal and Neonatal Complications Resulting From Vacuum-Assisted and Normal Vaginal Deliveries

“…The same study concluded that vacuum use is considered an advantage despite the infrequent complications reported [17]. Whenever operative delivery is indicated, indeed, vacuum is considered a better option than forceps [18]. Our study has strengths and limitations.…”

Could Subtle Obstetrical Brachial Plexus Palsy Be Related to Unilateral B Glenoid Osteoarthritis?

“…The literature search yielded 449 articles after duplicates removal ( Figure 2 ). More than 75% of these articles were excluded following title or full-text screening ( n = 259 and n = 81, respectively), leaving a total of 109 studies for further analyses ( Table S1 ) [ 16 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 ,…”

Intervenções obstétricas realizadas no período expulsivo: Um destaque para episiotomia / Obstetric intervention performed during expulsion: A highlight for episiotomy

“…O parto vaginal instrumental está vinculado a utilização de fórceps (pinças obstétricas) ou dispositivo a vácuo para efetuação do parto vaginal do feto (BIRU et al, 2019;HUBENA;WORKNEH;SIRANEH, 2018). Elas são indicadas quando ocorrem condições ameaçadoras contra a mãe e feto, período expulsivo prolongado e ausência de bem-estar fetal (BIRU et al, 2019;CUNHA, 2011;HUBENA;WORKNEH;SIRANEH, 2018). E não devem ser uma intervenção rotineira (BIRU et al, 2019;WHO, 2018).…”

“…Elas são indicadas quando ocorrem condições ameaçadoras contra a mãe e feto, período expulsivo prolongado e ausência de bem-estar fetal (BIRU et al, 2019;CUNHA, 2011;HUBENA;WORKNEH;SIRANEH, 2018). E não devem ser uma intervenção rotineira (BIRU et al, 2019;WHO, 2018). Uma pesquisa realizada na Etiópia indica que as complicações maternas associadas ao parto instrumentalizado foram de 12,1%, destes, um total de 91,7% foram vinculados ao parto assistido por fórceps, 8,3% assistido por vácuo.…”