Short-term neonatal outcomes of vacuum-assisted delivery. A case–control study

Ferraz, A. C.; Nunes, Filipa; Resende, Cristina; Almeida, M. C.; Taborda, Adelaide

doi:10.1016/j.anpede.2019.03.001

Cited by 7 publications

(4 citation statements)

References 31 publications

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Section: Introductionmentioning

confidence: 99%

“…A neonate who is assisted by vacuum deliveries had a greater proportion of NICU admissions compared to spontaneous deliveries (4.2% versus 2.2%) and the mortality rate was higher in the vacuum. 13 In developing countries like Ethiopia, there is lack of evidence that shows the magnitude and factor related to complication of IVD. Most of the research done in Ethiopia was secondary data and lacks variables like socio-demographic factors, availability of cardiotocograph (CTG), number of traction, who conducted delivery (qualification of health works).…”

Section: Introductionmentioning

confidence: 99%

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Complications of instrumental vaginal deliveries and associated factors in hospitals of Western Oromia, Ethiopia

et al. 2022

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Objective: In developing countries like Ethiopia, there is lack of evidence that shows the magnitude and factors affecting complications of instrumental delivery. Most of the research done in Ethiopia was secondary data and lacks variables like socio-demographic factors, availability of cardiotocograph, number of traction, and who conducted delivery (qualification of health workers). So, this study tried to fill the gaps by conducting primary research with secondary data and adding those variables stated above. Methods: Health facility-based cross-sectional study was conducted from 20 February 20 June 2020 in five public hospitals in East Wollega Zone. Single population proportion formula used to calculate sample size. Systematic random sampling was employed. Interviewer-administered structured questionnaire, checklist, and document review were used to collect data from 282 respondents. Data entered to Epi Data version 3.01 and exported to a statistical package of social sciences version 21 for analysis. Those variables with p < 0.25 in the bivariate analyses were a candidate for multivariable logistic regression and multivariable logistic regression was done to identify factors associated with complications of instrumental vaginal delivery using 95% confidence interval and p < 0.05. Results: Complications of instrumental vaginal delivery were 37.2%. Out of all neonates delivered by operative vaginal delivery, 69 (24.5%) developed complications. Vacuum-assisted delivery (adjusted odd ratio = 0.245, 95% confidence interval 0.092–0.658), 120–160 fetal heartbeats per minute (adjusted odd ratio = 0.298, 95% confidence interval 0.114–0.628), birthweight > 4000 g (adjusted odd ratio = 4.09, 95% confidence interval 1.729–9.499) and outlet instrumentation (adjusted odd ratio = 0.139, 95% confidence interval 0.057–0.339) were associated with complications of instrumental vaginal delivery. Conclusion: Magnitude of complications of instrumental vaginal delivery was high in the study area. So, health professionals should give due attention on instrument selection and application. Instrumental delivery requires a careful assessment of clinical circumstances to identify the indications and contraindications for the application of the instruments.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Complications of instrumental vaginal deliveries and associated factors in hospitals of Western Oromia, Ethiopia

et al. 2022

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“…This in turn reduces the chance of developing birth asphyxia, but this physiological advantage is not seen in caesarean delivery [9,21]. And also both vacuum and forceps extraction exert pressure on the newborn's brain result in intracranial hemorrhage which could in turn be in birth asphyxia from the hemorrhagic anemia [25]. This current study sex was strong determinant of birth asphyxia.…”

Section: Discussionmentioning

confidence: 59%

Determinants of Birth Asphyxia among Newborn in a Zonal Hospital

Rijal,

Chaudhary,

Saha

2023

Janaki Med. Coll. J. Med. Sci.

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Background & Objective: Birth asphyxia is a leading cause of brain damage. Early identification and managing of its contributing factor would change the burden of birth asphyxia. Therefore, the objective of this study was to identify the determinants of birth asphyxia among newborn in a zonal hospital, Dhanusha, Nepal. Material and Methods: A case control study was carried out among 192 newborns where cases and controls were taken in the ratio of 1:1. Newborns with an APGAR score of less than 7 at 1 min and 5 min were taken as cases, and those with greater or equal to 7 were taken as controls. Case includes all asphyxiated newborns at time of data collection. There were total 96 birth asphyxiated newborn and equal number of non-asphyxiated newborn meeting the inclusion criteria were included as a control group. Data was collected by using structured interview schedule and chart review. The data was entered into SPSS version 16. The data were analyzed by frequency, percentage, mean, standard deviation, chi-square test and odd ratio. Those variables with a p-value <0.05 were identified as significant determinants of birth asphyxia. Results: Findings revealed that rural residency (79.2%), dalit ethnicity (69.6%) and joint family (92.7%) were socio-demographic determinants of birth asphyxia. Finding also revealed that primi-parity (OR:3.2,95%CI:1.7-8.2),problem during pregnancy(OR:3.1,95%CI:1.5-6.6), premature rupture of membrane (OR:23.4, 95%CI: 8.7-62.7), augmentation of labour with oxytocin (OR:12.3, 95%CI:6.1-24.4), sex of newborn (OR:5.0, 95%CI;2.7-9.4), meconium stained amniotic fluid (OR:0.22,95%CI:0.00-0.05), cord round the neck (OR:19.0,95%CI:2.4-24.6) and height of mother (OR:16.2,95% CI:2.0-126.0) were significantly associated with increase odds of birth asphyxia. Conclusion: Most of the identified determinants were common and familiar causes of birth asphyxia. Early detection can prevent and control birth asphyxia. Thus, every pregnant woman need for better maternal care, so creating awareness about determining factors of birth asphyxia to the midwives, careful monitoring of labour, and identifying and taking proper measures that would help in decreasing the occurrence of birth asphyxia.

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“…In Sweden in 2022, 13% of all nulliparous women had an IB (69). IB increase the risk of OASI (110), PPH, cervical tears, shoulder dystocia (111), lacerations on the fetal scalp (112,113), intra-cranial haemorrhage (114) and neonatal jaundice (113,115).…”

Section: Oxytocin Augmentationmentioning

confidence: 99%

Prolonged passive second stage of labour in nulliparous women: A multi perspective study

Bjelke

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Aim: This study aimed to describe the prolonged passive second stage of labour in nulliparous women in relation to its prevalence, risk factors, birth outcomes, midwives’ intrapartum management, and women's birth experiences. Methods: Study I was a qualitative study in which 36 midwives participated in seven focus group discussions. Data were analysed using qualitative content analysis. Studies II and III were retrospective observational cohort studies where medical records from 1131 nulliparous women in Sweden were reviewed. Analyses were performed using descriptive statistics and multivariable logistic regression. Study IV included 15 individual interviews with nulliparous women who had a passive second stage lasting three hours or more. Data were analysed using thematic analysis based on descriptive phenomenology. Results: Midwives’ management of the passive phase is complex, especially if progress is slow. Guidelines were considered, but women were preferably managed individually. The prevalence of prolonged passive second stage (≥2h) was 38%. Epidural analgesia, malpresentation, maternal age ≥30 years, and birth weight of ≥4 kg were identified as risk factors for prolonged passive second stage. Longer duration of the passive second stage was associated with an increased risk of operative delivery. There were no associations with adverse maternal outcomes. Associations with adverse neonatal outcomes were found, although the rate of adverse neonatal outcomes were low in the study population. Women’s experiences of prolonged passive second stage were described in four themes: “An unknown phase”, “Trust and mistrust in the body’s ability”, ”Loss of control“, and “Support through presence and involvement”. Conclusion: This thesis describes the prolonged passive second stage from multiple perspectives, including midwives, epidemiological data, and women’s experiences. The midwives’ management of the passive second stage included a complex continuous process of assessment and balancing options for the next step. A prolonged passive second stage was common and did not result in increased risks of adverse maternal outcomes, although further fetal surveillance can be called for. Nulliparous women experienced the passive second stage as an unknown phase and expected a different path for birth, and the experience could include loss of control and increased need for emotional and physical support.

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Short-term neonatal outcomes of vacuum-assisted delivery. A case–control study

Cited by 7 publications

References 31 publications

Complications of instrumental vaginal deliveries and associated factors in hospitals of Western Oromia, Ethiopia

Complications of instrumental vaginal deliveries and associated factors in hospitals of Western Oromia, Ethiopia

Determinants of Birth Asphyxia among Newborn in a Zonal Hospital

Prolonged passive second stage of labour in nulliparous women: A multi perspective study

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