Opoku Bk
Department of Obstetrics and Gynaecology, Kwame Nkrumah University of Science and Technology-School of Medical Sciences, Kumasi, Ghana.
Ghana Med J. 2006 Mar;40(1):14-7.
To review vacuum deliveries conducted at Komfo Anokye Teaching Hospital (KATH) Kumasi, over a one year period.
The labour records of parturients who reported at KATH between 1(st) January and 31(st) December 2000 were retrieved. The records of those who had vacuum deliveries were reviewed for baseline practices and outcomes.
Three hundred and forty-one (341) patients out of 11,122 were delivered by vacuum extraction giving an incidence of 3.1%. There was a failure rate of 6.4%. The main indication for the procedure was Prolonged 2(nd) stage of labour which occurred in 37.2% of parturients. The mean birth weight was 3.1kg (S.D 0.58kg). Mild asphyxia as shown by Apgar score of 4-6 at one minute was found in 16.4% of babies. Maternal morbidity was low and limited to perineal injuries.
The use of vacuum extraction as a means of assisted delivery was found to be safe with reference to both maternal and fetal outcomes.
摘要 目的:回顾库马西Komfo Anokye教学医院(KATH)在一年期间进行的真空助产分娩情况。
检索2000年1月1日至12月31日期间在KATH就诊的产妇的分娩记录。对进行真空助产分娩的产妇记录进行回顾,以了解基线操作和结果。
11122名产妇中有341名(3.1%)通过真空吸引助产分娩。失败率为6.4%。该操作的主要指征是第二产程延长,占产妇的37.2%。平均出生体重为3.1千克(标准差0.58千克)。16.4%的婴儿在出生一分钟时阿氏评分4 - 6分,表现为轻度窒息。产妇发病率较低,仅限于会阴损伤。
就母婴结局而言,使用真空吸引作为辅助分娩手段是安全的。