Hayati Khishotul, Ritonga Mulyanusa Amarullah, Djuwantono Tono
Faculty of Medicine, Department of Obstetrics and Gynecology, Padjadjaran University, Bandung, Indonesia.
SAGE Open Med. 2024 Mar 28;12:20503121241239813. doi: 10.1177/20503121241239813. eCollection 2024.
Recently, there has been a decline in the use of vacuums and forceps. This is due to complications that occur in the mother and baby as well as the operator's ability to operate the instruments. Concerning Professional Education Standards for Obstetrics and Gynecology Specialists, the minimum skill that must be achieved by vacuum extraction and forceps is a minimum of five cases. This is difficult to achieve with the number of obstetrics and gynecology residents in West Java.
A retrospective study was conducted using medical records based on the International Classification of Disease 10th Revision from 1 to 28 February 2023 at teaching hospitals and Academic Health System in West Java, namely Hasan Sadikin Hospital, Al-Ihsan Hospital Bandung, and Cikalong Wetan Hospital West Bandung, in the period 1 January 2018 to 31 December 2022. The main outcome was vacuum and forceps extraction with consecutive sampling. The relationship between maternal characteristics such as maternal age, parity, gestational age, and indication for delivery with vaginal operative delivery was descriptive statistics analyzed using IBM SPSS Statistics 26.
Trends indicate that the percentage of vaginal operative deliveries tends to be low, below 5%. Vacuum deliveries decreased from 0.75% in 2018 to 0.68% in 2022, while forceps deliveries decreased from 2.77% to 0.98% over the same period.
This study concludes that there was an insufficiency of vacuum extraction and forceps delivery cases at the teaching hospital and Academic Health System in West Java to achieve a minimum case of vacuum and forceps. Further research studying how educational interventions improve operative delivery skills might be considered.
最近，真空吸引器和产钳的使用有所减少。这是由于母婴出现的并发症以及操作者操作器械的能力所致。关于妇产科专科医生的专业教育标准，真空吸引术和产钳术必须达到的最低技能要求是至少完成五例手术。西爪哇省妇产科住院医师的数量很难达到这一要求。
采用回顾性研究，使用基于国际疾病分类第10版的医疗记录，研究对象为2023年2月1日至28日西爪哇省的教学医院和学术健康系统，即哈山·萨迪金医院、万隆艾尔·伊山医院和西万隆奇卡隆韦坦医院，研究时间段为2018年1月1日至2022年12月31日。主要观察指标是连续抽样的真空吸引术和产钳术。使用IBM SPSS Statistics 26对产妇特征（如产妇年龄、产次、孕周和分娩指征）与阴道助产之间的关系进行描述性统计分析。
趋势表明，阴道助产的比例往往较低，低于5%。真空吸引分娩率从2018年的0.75%降至2022年的0.68%，而同期产钳分娩率从2.77%降至0.98%。
本研究得出结论，西爪哇省教学医院和学术健康系统中真空吸引术和产钳分娩术的病例不足，无法达到真空吸引术和产钳术的最低病例数要求。可能需要考虑进一步研究教育干预如何提高助产技能。
