Gachiri J R, Rogo K O
Department of Obstetrics and Gynaecology, University of Nairobi, Kenya.
East Afr Med J. 1991 Jul;68(7):539-46.
In a prospective study, 167 vacuum extractions (VE) performed at the Kenyatta National Hospital, Nairobi, formed 6.3% of the total deliveries. Most patients were young and of low parity. There were no maternal deaths. The overall maternal morbidity rate was 22% and were mostly minor. Post partum haemorrhage was the most common maternal complication. There were 5 failed VEs. Perinatal morbidity and mortality rates were 16.2% and 4.8% respectively. Intrauterine asphyxia was the commonest cause of death. Several complications could have been avoided by more stringent use of the instrument. The place of VE in a busy obstetric unit is discussed.
在一项前瞻性研究中，内罗毕肯雅塔国家医院进行的167例真空吸引分娩占总分娩数的6.3%。大多数患者年轻且经产次数少。无孕产妇死亡。孕产妇总体发病率为22%，大多为轻微病症。产后出血是最常见的孕产妇并发症。有5例真空吸引分娩失败。围产期发病率和死亡率分别为16.2%和4.8%。宫内窒息是最常见的死亡原因。更严格地使用该器械可避免一些并发症。本文讨论了真空吸引分娩在繁忙产科单位中的地位。
