Kadas As, Aliyu Ld, Hauwa Ma
Department of Obstetrics and Gynaecology Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria.
Department of Obstetrics and Gynaecology Aminu Kano Teaching Hospital, Kano, Nigeria.
J West Afr Coll Surg. 2011 Oct;1(4):18-27.
Instrumental vaginal delivery is an important procedure which can be used as an alternative to caesarean section when indicated and thus reduce the caesarean section rate. There is a need to maintain and improve the skills for this procedure through training and research in order to improve the benefits for both mothers and their babies.
To determine the incidence and indications of instrumental vaginal delivery and to compare the foetal and maternal outcome of vacuum and forceps deliveries.
This was a retrospective study on instrumental vaginal deliveries carried out between June 2009 and May 2011. The hospital records of all the patients who had had vacuum or forceps delivery were obtained and data on age, parity, booking status, and type of procedure performed, APGAR scores of babies delivered and complications were entered into a proforma and analyzed using SPSS software for Windows version 16.0.
The rate of instrumental vaginal deliveries in this study was 0.69% of all deliveries. The rates were 0.54% and 0.15% for vacuum and forceps deliveries respectively. There was statistically significant difference in terms of APGAR scores ≤6 at 5 minutes and maternal complications between the two groups as the p-value was 0.000. There was no statistically significant difference with respect to booking status and parity of patients between the two groups as the p-values were 0.073 and 0.976.
The rate of instrumental vaginal deliveries in this institution is low and indications for the procedure are similar to those found elsewhere. There is statistically significant difference in terms of foetal and maternal outcomes between those who had forceps delivery and those who had vacuum delivery.
器械助产分娩是一项重要的操作，在有指征时可作为剖宫产的替代方法，从而降低剖宫产率。有必要通过培训和研究来维持和提高该操作的技能，以改善对母亲及其婴儿的益处。
确定器械助产分娩的发生率和指征，并比较真空吸引助产和产钳助产的胎儿及母亲结局。
这是一项对2009年6月至2011年5月期间进行的器械助产分娩的回顾性研究。获取了所有接受真空吸引或产钳助产的患者的医院记录，并将年龄、产次、预约状态、所施行的操作类型、分娩婴儿的阿氏评分及并发症等数据录入表格，并使用Windows版SPSS软件16.0进行分析。
本研究中器械助产分娩率占所有分娩的0.69%。其中真空吸引助产率和产钳助产率分别为0.54%和0.15%。两组在5分钟时阿氏评分≤6及母亲并发症方面存在统计学显著差异，p值为0.000。两组在患者预约状态和产次方面无统计学显著差异，p值分别为0.073和0.976。
该机构的器械助产分娩率较低，该操作的指征与其他地方发现的相似。产钳助产和真空吸引助产的胎儿及母亲结局存在统计学显著差异。
