Outcome of Instrumental Vaginal Deliveries in Referred Cases

Background. Operative vaginal delivery refers to vaginal delivery performed with the use of instruments such as forceps or vacuum. Operative vaginal delivery-related maternal complications are still a serious problem, but they are one of the least investigated in Ethiopia, particularly in the study area. Increased difficulties have been attributed to a lack of understanding on how to anticipate the procedure’s complications. Identifying typical OVD complications can assist health providers in detecting and intervening early. The goal of this study was to find out which characteristics contributed to maternal problems during surgical vaginal birth. Methods. A health facility-based cross-sectional study design was used. From December 2019 to November 2021, a total of 326 mother’s OVD medical records were selected from a total of 1000 OVD medical records using a simple random sampling method. A checklist was used to collect the data. Binary logistic regression was computed and variables with a p value ≤ 0.2 in the bivariate logistic regression were taken to multivariate logistic regression analysis to examine the real relationship or statistical association with the outcome variable. The p value of <0.05 with a 95% confidence interval was considered a significant variable. The results are presented using tables, figures, and texts. Results. Maternal complications were prevalent in 62 of the cases (19%). The type of operative vaginal delivery instrument used (AOR = 2.248; 95% CI (1.144, 4.416)), the station of the presenting part at which the OVD was performed (AOR = 3.199; 95% CI (1.359, 7.533)), neonatal birth weight (AOR = 3.342; 95% CI (1.435, 7.787)), and duration of the second stage (AOR = 2.556; 95% CI (1.039, 6.284)) were significantly associated with the unfavorable maternal outcomes of operative vaginal delivery. Conclusions. Maternal complications are high in the study area. The type of operative vaginal delivery used, the duration of the second stage, the station of the presenting part at which the OVD was performed, and neonatal birth weights were all significantly related to maternal complications. While using the instrument, mothers with the identified factors should be given special attention.

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Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia

Nedamo

Sakelo

Tirore

et al. 2023

Obstetrics and Gynecology International

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Descemet’s membrane tears following forceps delivery

Christy,

Parab,

Khanna

2024

IJOGR

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: To report a case series on corneal trauma induced by forceps assisted vaginal delivery.: Case records of six patients who had clinical features suggestive of corneal trauma induced by forceps delivery were retrospectively reviewed and analysed. Vertical to oblique corneal Descemet’s membrane (DM) tears were noted in all 6 patients which included 2 males and 4 females. Right eye was involved in all patients and one patient had bilateral involvement. The age of presentation ranged from 5 to 39 years. Three patients had visual acuity better than 6/18 and three had worse than 6/18 in their affected eyes. All patients had corneal astigmatism in the range of 1.75 to 8 diopters. : A complicated vaginal delivery should be anticipated at the earliest by the obstetrician and an apt decision on the mode of delivery has to be attempted in order to prevent avoidable ocular trauma, especially in forceps assisted vaginal deliveries. All neonates who are born by forceps assisted vaginal delivery require mandatory referral to an ophthalmologist to rule out any ocular trauma. Early intervention can prevent irreversible vision loss due to amblyopia.

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Maternal and Neonatal Outcomes in Patients With Instrumental Delivery (Forceps/Ventouse)

Pathak¹,

Bhaumik²,

Kumar³

2016

jebmh

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Outcome of Instrumental Vaginal Deliveries in Referred Cases

Cited by 3 publications

References 4 publications

Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia

Maternal Complications Related to Operative Vaginal Delivery and Their Associated Factors among Women Delivered at NEMCS Hospital, Southwest Ethiopia

Descemet’s membrane tears following forceps delivery

Maternal and Neonatal Outcomes in Patients With Instrumental Delivery (Forceps/Ventouse)

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