Okeke Tc, Ekwuazi Ke
Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Ann Med Health Sci Res. 2013 Oct;3(4):471-4. doi: 10.4103/2141-9248.122043.
There has been a decline in operative vaginal delivery world-wide. Vacuum extraction has largely replaced forceps delivery in our low resource setting and in the developed countries, but the teaching and exposure of this procedure is still on the decline. There is a need for enhanced teaching and exposure of operative vaginal delivery and mastering of the procedure in our centers by the residents in training. Review of the pertinent literature and studies on operative vaginal delivery, selected references, internet services on operative vaginal delivery. Earlier studies on operative vaginal delivery showed that vacuum extraction has been the procedure of choice. The rates reported from developed countries were much higher than the rates reported from Nigeria. Vacuum extraction rates of 1.5% from Zaria, 1.7% from Maiduguri, 1.6% from Ilorin and 3.5% from Benin City all in Nigeria. At the University of Nigeria Teaching Hospital, Enugu-Nigeria, ventouse is popular with rates of 3.1% in 1980, 3.5% in 2001, and 1.5% in 2006, but still on the decline. Vacuum extraction is safe and effective practice in our poor resource setting. There is a need for enhanced teaching and exposure of residents in training because widely divergent situation can exist; facilities and adequate back up for caesarean section may not always be available in our poor resource setting.
全球范围内，手术助产分娩率呈下降趋势。在我们资源匮乏地区以及发达国家，真空吸引术已在很大程度上取代了产钳助产，但该手术的教学和实践机会仍在减少。在我们的中心，有必要加强对住院医师的手术助产教学和实践培训，使其掌握该手术。查阅有关手术助产的相关文献和研究、选定参考文献以及手术助产的互联网服务。早期关于手术助产的研究表明，真空吸引术一直是首选方法。发达国家报告的比率远高于尼日利亚报告的比率。尼日利亚扎里亚的真空吸引率为1.5%，迈杜古里为1.7%，伊洛林为1.6%，贝宁城为3.5%。在尼日利亚埃努古的尼日利亚大学教学医院，负压吸引术很普遍，1980年的比率为3.1%，2001年为3.5%，2006年为1.5%，但仍在下降。在我们资源匮乏地区，真空吸引术是一种安全有效的做法。由于可能存在广泛不同的情况，有必要加强对住院医师的教学和实践培训；在我们资源匮乏地区，剖宫产的设施和足够的支持可能并不总是具备。
