Aimakhu C O, Olayemi O, Enabor O O, Oluyemi F A, Aimakhu V E
Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Nigeria.
West Afr J Med. 2003 Sep;22(3):222-4. doi: 10.4314/wajm.v22i3.27954.
The incidence of forceps delivery has reduced in Nigeria and in the world in general. Some Obstetricians have not been trained in its use and lack the skill.
To determine the outcome of forceps delivery at this centre.
A retrospective analysis of all forceps delivery done at this centre between the 1st of January 1997 and 31st December 2001, a 5-year period was done.
The incidence of forceps delivery was 1.57% or 16 per 1000 births and they were all low cavity deliveries. Most of the patients (68.5%) were booked at this centre. The mean age was 28.21 +/- 4.79 years and most (64.4%) were nulliparious. The mean gestational age at delivery was 38.7 +/- 3.0 weeks. The most common indications were prolonged second stage of labour (58.9%), maternal distress (43.8%) and fetal distress (15.1%). There were multiple indications in some patients. The mean birth weight was 3.03 +/- 0.69 kgs and 90.4% were live births. The main maternal complications were maternal injuries (8.1%), primary post partum haemorrhage (5.5%), anaemia (5.5%) and retained products of conception (4.1%). Maternal deaths occurred in 2 eclamptics and birth asphyxia in 6.9% of babies. The perinatal mortality rate was 54.8 per 1000 births. There were no fetal injuries.
Obstetrics forceps delivery is on the decline in Nigeria. It is an art that can safely and quickly deliver the fetus. It could be offered in the place of a caesarean section in some instances with a good outcome to both the mother and fetus in skilled hands. Obstetricians should be trained to use it more frequently.
在尼日利亚乃至全世界，产钳助产的发生率总体上都有所下降。一些产科医生未接受过产钳使用培训，缺乏相关技能。
确定本中心产钳助产的结局。
对1997年1月1日至2001年12月31日这5年间本中心所有产钳助产病例进行回顾性分析。
产钳助产发生率为1.57%，即每1000例分娩中有16例，均为低位产钳助产。大多数患者（68.5%）在本中心建档。平均年龄为28.21±4.79岁，大多数（64.4%）为初产妇。分娩时的平均孕周为38.7±3.0周。最常见的指征是第二产程延长（58.9%）、母体窘迫（43.8%）和胎儿窘迫（15.1%）。部分患者存在多种指征。平均出生体重为3.03±0.69千克，90.4%为活产。主要的母体并发症有母体损伤（8.1%）、原发性产后出血（5.5%）、贫血（5.5%）和妊娠物残留（4.1%）。2例子痫患者发生母体死亡，6.9%的婴儿发生出生窒息。围产儿死亡率为每1000例分娩54.8例。未发生胎儿损伤。
在尼日利亚，产科产钳助产呈下降趋势。它是一种能够安全、快速娩出胎儿的技术。在某些情况下，由技术熟练的人员操作，它可以替代剖宫产，对母亲和胎儿都能取得良好结局。产科医生应接受更多培训以便更频繁地使用产钳。
