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
Background： Obstetric anal sphincter injuries （OASIS） can cause an adverse impact on women＇s physical and mental health. There was lack of published data in Chinese population particularly on studying the risk of ...Background： Obstetric anal sphincter injuries （OASIS） can cause an adverse impact on women＇s physical and mental health. There was lack of published data in Chinese population particularly on studying the risk of OASIS for nonrotational outlet forceps. This study was to determine the incidence and risk factors of OASIS. Methods： This is a retrospective cohort study carried out in a tertiary referral hospital in Hong Kong. The control group was selected randomly. Univariate and multivariate logistic regression analysis was performed to evaluate the influence of potential risk factors on OASIS. This study reviewed the obstetric records of OASIS women and random control from January 2011 to June 2014. Univariate and multivariate logistic regression analysis was performed to evaluate the influence of potential risk factors on OASIS. Results： Of 15,446 women delivered, 49 had OASIS. The percentage of OASIS increased from 0.3% （2011） to 0.38% （2014）. There was an increasing trend of OASIS in attempted spontaneous vaginal delivery without episiotorny （P 〈 0.01）~ but it did not increase the OASIS risk （P = 0.46）. Univariate analysis of 49 cases and 438 control subjects showed that forceps delivery （odds ratio [OR] -8.73, P 〈 0.01 ）, prolong second stage of labor （OR = 1.43, P 〈 0.01） increased the risk lbr OASIS. In multivariate regression models, only lbrceps delivery （OR = 6.28, P 〈 0.01） proved to be independent risk factor. Conclusions： The incidence of OASIS in Chinese women was increased alter 2012, but still lower than the reported figures in the literature. Outlet forceps delivery could be a possible associated risk factor.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Background： Obstetric anal sphincter injuries （OASIS） can cause an adverse impact on women＇s physical and mental health. There was lack of published data in Chinese population particularly on studying the risk of OASIS for nonrotational outlet forceps. This study was to determine the incidence and risk factors of OASIS. Methods： This is a retrospective cohort study carried out in a tertiary referral hospital in Hong Kong. The control group was selected randomly. Univariate and multivariate logistic regression analysis was performed to evaluate the influence of potential risk factors on OASIS. This study reviewed the obstetric records of OASIS women and random control from January 2011 to June 2014. Univariate and multivariate logistic regression analysis was performed to evaluate the influence of potential risk factors on OASIS. Results： Of 15,446 women delivered, 49 had OASIS. The percentage of OASIS increased from 0.3% （2011） to 0.38% （2014）. There was an increasing trend of OASIS in attempted spontaneous vaginal delivery without episiotorny （P 〈 0.01）~ but it did not increase the OASIS risk （P = 0.46）. Univariate analysis of 49 cases and 438 control subjects showed that forceps delivery （odds ratio [OR] -8.73, P 〈 0.01 ）, prolong second stage of labor （OR = 1.43, P 〈 0.01） increased the risk lbr OASIS. In multivariate regression models, only lbrceps delivery （OR = 6.28, P 〈 0.01） proved to be independent risk factor. Conclusions： The incidence of OASIS in Chinese women was increased alter 2012, but still lower than the reported figures in the literature. Outlet forceps delivery could be a possible associated risk factor.
