Ventouse obstétricale

Schaal, J.-P.; Riethmuller, Didier; Menget, A.

doi:10.1016/j.emcgo.2004.02.005

Cited by 3 publications

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“…With regard to postpartum hemorrhage, several cohort studies have shown a significant increase in hemorrhagic risk after instrumental extraction compared to the spontaneous lower route (Odds ratio ranging from The reasons given are the increased risk of soft tissue tears and uterine atonypromoted by the presence of associated factors such as dystocic labour, prolonged second phase and macrosomy. Two cohort studies, one Dutch with 3,434 [27] and one French with 19,182 [28], did not find that instrumental extraction was a significant risk factor for the severity of postpartum hemorrhage. In short, everything depends on the conditions of application and the perfect mastery of the extraction technique by the midwife [29] [30].…”

Section: Prognostic Aspects Maternal Prognosismentioning

confidence: 99%

Fetal Instrumental Extractions at the Maternity Section of the Dakar Nabil Choucair Health Centre (Senegal) in 2017: Epidemio-Clinical Aspects, Indications and Prognosis

Gassama¹,

Biaye²,

Taoufiki³

et al. 2020

OJOG

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Introduction: An instrumental extraction is performed in order to shorten the phase of expulsion of the fetus outside the maternal pelvic pathway, when there is a suspected fetal state or a defect in progression of the fetal mobile. It can be responsible for immediate or late maternal complications, which are not specific because they can occur after a normal delivery. The objectives of this work are to describe the epidemiological-clinical and prognosis aspects of deliveries assisted by instrumental extractions in a reference maternity unit in Dakar. Materials and Methods: This was a retrospective, descriptive and analytical study between January 1, 2017 and December 31, 2017, a period of 12 months at the maternity ward of the Nabil Choucair Health Center. The collection was carried out using the survey form completed on the basis of the analysis of the files, the delivery register and the anaesthesia register of the operating room. The parameters studied were about socio-demographic characteristics, indications and prognosis. The data entry was carried out using the Sphinx version 5 software and the data analysis using the Epi info version 3.5 software. Results: During the period of our study, we collected 94 instrumental extractions. The frequency of instrumental extractions was 1.7%. The average age of the patients was 25 years with extremes of 16 to 43 years old. The average parity was 1 with extremes 1 to 6. Among parturient women, 12 patients (12.8%) had a history of suction cup, two (2.1%) had received forceps and three (3.2%) had a cesarean section. The average gestational age was 39 Weeks of Amenorrhea (WA), the average uterine height was 32 cm, fetal heart sounds were normal in 98% parturient' cases. The vaginal touch had found a fully dilated cervix, a rupture of the amniotic sac with clear How to cite this paper:

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