Johanson R, Jones P
Academic Department of Obstetrics and Gynaecology, North Staffordshire Hospital Trust, UK.
J Obstet Gynaecol. 1999 Nov;19(6):602-3. doi: 10.1080/01443619963815.
Operative vaginal delivery with the vacuum extractor or forceps is integral to the practice of obstetrics worldwide. The rates at which obstetricians in different countries intervene vary enormously. The wide range of operative vaginal delivery rates reported in the United Kingdom has been noted as a cause for concern. At a Royal College of Obstetricians and Gynaecologists consultants' conference, the participants of a discussion group were surveyed regarding their 'actual' and perceived 'optimal' operative vaginal delivery rate. The 'actual' operative vaginal delivery rate was 10.5% and the perceived 'optimal' was 8.7%. Given that there are approximately 600 000 births per annum in the UK, if the optimal delivery rate was achieved over 10 000 operative vaginal deliveries could be avoided, with significant reductions in maternal morbidity. Reductions could be achieved by examining practice at a number of points in the care pathway. Individual units should examine their practice to establish whether their guidelines and continuing education programmes reflect current knowledge of best practice.
使用真空吸引器或产钳进行阴道助产术是全球产科实践的重要组成部分。不同国家产科医生的干预率差异极大。英国报道的阴道助产术率范围之广已引起关注。在皇家妇产科学院顾问会议上，一个讨论小组的参与者就其“实际”和认为的“最佳”阴道助产术率接受了调查。“实际”阴道助产术率为10.5%，认为的“最佳”率为8.7%。鉴于英国每年约有60万例分娩，如果达到最佳分娩率，可避免超过10000例阴道助产术，产妇发病率将大幅降低。通过在护理路径的多个环节检查实践可以实现降低发病率。各个单位应检查其做法，以确定其指南和继续教育计划是否反映了当前最佳实践的知识。
