Forceps deliveries and fetomaternal outcome in modern obstetrics

Simple item page
dc.contributor.authorOkram, Sarda Devien_US
dc.contributor.authorBetha, Kalpanaen_US
dc.contributor.authorBodhanapati, Jothsnaen_US
dc.contributor.authorTejasri, Koorapatien_US
dc.date.accessioned2020-10-16T08:01:00Z
dc.date.available2020-10-16T08:01:00Z
dc.date.issued2019-12
dc.description.abstractBackground: 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.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Mediciti Institute of Medical Sciences, Medchal, Hyderabad, Indiaen_US
dc.identifier.citationOkram Sarda Devi, Betha Kalpana, Bodhanapati Jothsna, Tejasri Koorapati. Forceps deliveries and fetomaternal outcome in modern obstetrics. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 Dec; 8(12): 4862-4865en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/207257
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber12en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20195335en_US
dc.subjectForcepsen_US
dc.subjectLow birth weighten_US
dc.subjectPostpartum haemorrhageen_US
dc.titleForceps deliveries and fetomaternal outcome in modern obstetricsen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ijrcog2019v8n12p4862.pdf
Size:
132.16 KB
Format:
Adobe Portable Document Format
Download
Collections
International Journal of Reproduction, Contraception, Obstetrics and Gynecology