Biru Shimeles, Addisu Dagne, Kassa Simachew, Animen Simachew
Department of Midwifery, College Of Medicine and Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Midwifery, College Of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
BMC Res Notes. 2019 Aug 5;12(1):482. doi: 10.1186/s13104-019-4530-7.
The study aimed to determine proportion and risk factors for maternal complication related to forceps and vacuum delivery among mother who gave birth at Felege Hiwot Comprehensive Specialized Hospital (FHCSH).
Records of 406 mothers managed with instrumental vaginal delivery were reviewed and 97% of the reviewed card had complete documentation. The proportion of maternal complications related to instrumental delivery was 12.1%. A major complication of forceps assisted delivery was 2nd-degree perineal tear (7.4%), 3rd-degree perineal tear (1.5%), cervical tear (1.5%) and episiotomy extension (1%). However, the complication of vacuum-assisted vaginal delivery was only cervical tear (0.5%) and episiotomy extension (0.5%). Episiotomy during instrumental delivery reduce maternal complication by 86% [AOR = 0.14, 95% CI 0.07-0.3]. Forceps assisted vaginal delivery had 3.4 times more risk for maternal complication compared to vacuum-assisted vaginal delivery [AOR = 3.4, 95% CI 1.08-10.67] and the same is true for primiparity that primipara women who gave birth by the help of instrument had 3.5 times more risk for maternal complication compared to a multipara women [AOR = 3.5, 95% CI 1.26-9.98].
本研究旨在确定在费莱格·希沃特综合专科医院（FHCSH）分娩的母亲中，与产钳和真空吸引助产相关的孕产妇并发症的比例及危险因素。
对406例接受器械助产的母亲的记录进行了回顾，97%的被审查病历有完整记录。器械助产相关的孕产妇并发症比例为12.1%。产钳助产的主要并发症为二度会阴裂伤（7.4%）、三度会阴裂伤（1.5%）、宫颈裂伤（1.5%）和会阴切开延长（1%）。然而，真空吸引助产的并发症仅为宫颈裂伤（0.5%）和会阴切开延长（0.5%）。器械助产时行会阴切开可使孕产妇并发症减少86%[调整后比值比（AOR）=0.14，95%置信区间（CI）0.07 - 0.3]。与真空吸引助产相比，产钳助产导致孕产妇并发症的风险高3.4倍[AOR = 3.4，95% CI 1.08 - 10.67]，初产妇也是如此，即借助器械分娩的初产妇发生孕产妇并发症的风险比经产妇高3.5倍[AOR = 3.5，95% CI 1.26 - 9.98]。
