G4P3L3 was at 40 weeks of gestation who was admitted in active stage of labor with normal fetal heart rate. At 8 cm cervical dilatation she experienced spontaneous rupture of membrane with clear liquor. Cord prolapse ...G4P3L3 was at 40 weeks of gestation who was admitted in active stage of labor with normal fetal heart rate. At 8 cm cervical dilatation she experienced spontaneous rupture of membrane with clear liquor. Cord prolapse was detected and was prepared for caesarian section meanwhile she was kept in knee chest position and bladder was filled with normal saline 0.9%. 30 min before operation she was fully dilated with signs of Non reassuring fetal status, vacuum extraction was done to assist delivery as soon as possible. The APGAR score was 6 and 10 in the first and fifth minutes respectively. Mother and the baby were discharged the next day in good condition.展开更多
The purpose of this research was to evaluate the complications for the mother and newborn, using vacuum extraction, and to compare them with spontaneous delivery. This study included group of vacuum-assisted deliverie...The purpose of this research was to evaluate the complications for the mother and newborn, using vacuum extraction, and to compare them with spontaneous delivery. This study included group of vacuum-assisted deliveries in time period 2014-2016 （n = 726） in Riga Maternity Hospital, and it was compared to the group of spontaneous vaginal deliveries （n = 726）. Data statistically processed in Microsoft Excel mid SPSS Statistics 22.0. Results of the study： in vacuum-assisted deliveries vaginal lacerations was 13.8% more, cervical lacerations was 9.8% more than in group of spontaneous vaginal deliveries, perineal lacerations were 25.6% less in group with vacuum extraction, neonatal cephalohematomas was 26.9% more, and clavicle factures was 3.3% more in vacuum-assisted deliveries. Vacuum extraction was used for the first delivery in 86.9% of cases, for the second delivery 10,9% of cases. Vacuum-assisted deliveries in comparison with spontaneous vaginal deliveries are associated with higher risks for maternal soft tissue ruptures and neonatal cephalohematomas, clavicle factures. It is important to evaluate the indications for use of vacuum extractor. Staff skills, using vacuum extraction method, should be at a high level.展开更多
Aim: To determine maternal and neonatal morbidities associated with instrumental vaginal delivery. Methods: This retrospective study consisted of 233 women undergoing instrumental vaginal deliveries from April 2020 to...Aim: To determine maternal and neonatal morbidities associated with instrumental vaginal delivery. Methods: This retrospective study consisted of 233 women undergoing instrumental vaginal deliveries from April 2020 to March 2021 at Paropakar Maternity and Women Hospital, a tertiary care hospital in Kathmandu, Nepal. Neonatal and maternal complications were analyzed. Results: Of 233 women, 102 (43.7%) and 131 (56.2%) had vacuum and forceps deliveries, respectively. The use of instruments was more frequent in infants with higher birth weight and gestational age. There were no significant differences in Apgar scores between the two groups. Two main indications of instrumental deliveries were fetal distress and prolonged second stage labor. Forceps, compared with vacuum, more often caused 3<sup>rd</sup>/4<sup>th</sup> perineal tears, tear extending to fornices, and postpartum hemorrhage. Neonatal outcomes were similar in both types of instrumental deliveries. Conclusion: Instrumental vaginal delivery caused maternal morbidity and procedure/judgment training for it is essential.展开更多
文摘G4P3L3 was at 40 weeks of gestation who was admitted in active stage of labor with normal fetal heart rate. At 8 cm cervical dilatation she experienced spontaneous rupture of membrane with clear liquor. Cord prolapse was detected and was prepared for caesarian section meanwhile she was kept in knee chest position and bladder was filled with normal saline 0.9%. 30 min before operation she was fully dilated with signs of Non reassuring fetal status, vacuum extraction was done to assist delivery as soon as possible. The APGAR score was 6 and 10 in the first and fifth minutes respectively. Mother and the baby were discharged the next day in good condition.
文摘The purpose of this research was to evaluate the complications for the mother and newborn, using vacuum extraction, and to compare them with spontaneous delivery. This study included group of vacuum-assisted deliveries in time period 2014-2016 （n = 726） in Riga Maternity Hospital, and it was compared to the group of spontaneous vaginal deliveries （n = 726）. Data statistically processed in Microsoft Excel mid SPSS Statistics 22.0. Results of the study： in vacuum-assisted deliveries vaginal lacerations was 13.8% more, cervical lacerations was 9.8% more than in group of spontaneous vaginal deliveries, perineal lacerations were 25.6% less in group with vacuum extraction, neonatal cephalohematomas was 26.9% more, and clavicle factures was 3.3% more in vacuum-assisted deliveries. Vacuum extraction was used for the first delivery in 86.9% of cases, for the second delivery 10,9% of cases. Vacuum-assisted deliveries in comparison with spontaneous vaginal deliveries are associated with higher risks for maternal soft tissue ruptures and neonatal cephalohematomas, clavicle factures. It is important to evaluate the indications for use of vacuum extractor. Staff skills, using vacuum extraction method, should be at a high level.
文摘Aim: To determine maternal and neonatal morbidities associated with instrumental vaginal delivery. Methods: This retrospective study consisted of 233 women undergoing instrumental vaginal deliveries from April 2020 to March 2021 at Paropakar Maternity and Women Hospital, a tertiary care hospital in Kathmandu, Nepal. Neonatal and maternal complications were analyzed. Results: Of 233 women, 102 (43.7%) and 131 (56.2%) had vacuum and forceps deliveries, respectively. The use of instruments was more frequent in infants with higher birth weight and gestational age. There were no significant differences in Apgar scores between the two groups. Two main indications of instrumental deliveries were fetal distress and prolonged second stage labor. Forceps, compared with vacuum, more often caused 3<sup>rd</sup>/4<sup>th</sup> perineal tears, tear extending to fornices, and postpartum hemorrhage. Neonatal outcomes were similar in both types of instrumental deliveries. Conclusion: Instrumental vaginal delivery caused maternal morbidity and procedure/judgment training for it is essential.
