Nkwabong E, Nana P N, Mbu R, Takang W, Ekono M R, Kouam L
Gynaecology & Obstetric Department, University Teaching Hospital Yaoundé/Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon.
Trop Doct. 2011 Jan;41(1):5-7. doi: 10.1258/td.2009.090406. Epub 2010 Oct 12.
Instrumental deliveries are believed to be associated with increased maternal and, especially, fetal morbidity and mortality. Hence, it is less practiced in many developing countries. The aim of this retrospective study, conducted between 1 January 2007 and 31 December 2008, was to assess the prevalence, indications, neonatal wellbeing and maternal complications of instrumental deliveries. Of 3623 vaginal deliveries, 84 (2.3%) instrumental deliveries were conducted. The most common indication was a prolonged second stage of labour. Fetal wellbeing, measured by the Apgar score, was good and was similar in the group who had forceps delivery and that of the vacuum extraction delivery group. Maternal complications, usually minor, were vaginal and perineal tears. Instrumental delivery should be encouraged and taught in order to reverse the rising caesarean section rate.
器械助产被认为与产妇发病率增加相关，尤其是胎儿发病率和死亡率。因此，在许多发展中国家这种助产方式的应用较少。这项回顾性研究于2007年1月1日至2008年12月31日进行，旨在评估器械助产的发生率、指征、新生儿健康状况及产妇并发症。在3623例阴道分娩中，有84例（2.3%）进行了器械助产。最常见的指征是第二产程延长。通过阿氏评分衡量的胎儿健康状况良好，产钳助产组和真空吸引助产组的情况相似。产妇并发症通常较轻，包括阴道和会阴撕裂伤。应鼓励并传授器械助产方法，以扭转剖宫产率不断上升的趋势。
