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Immediate Maternal and Neonatal Effects of Forceps and Vacuum - Assisted Deliveries

Annie Rajaratnam, Associate Professor, Department of Obstetrics & Gynaecology, Yenepoya Medical College, Mangaluru, Karnataka 575018, India. , Riddhima Shetty1 , Annie Rajaratnam2

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Indian Journal of Obstetrics and Gynecology 6(5):p 486-489, Sep-Oct 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6518.8

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Abstract

Introduction: In certain conditions when normal delivery cannot be allowed for various reasons, assisted vaginal delivery is the method of choice. Vaginal delivery being assisted by instruments can either be of vacuum extraction or forceps, a choice based on pelvic findings. The aim of the study was to observe the immediate maternal & neonatal effects of vacuum and forceps deliveries and to compare the effects of the same. aterials & Methods: This prospective study was done in a tertiary care centre from January to Aug 2017. 63 ventouse and 11 forceps deliveries were done. The indications,  maternal and neonatal outcomes were observed. Result: 72.72% of forceps and 66.7% of ventouse deliveries were carried out in primigravida. Failure of secondary forces (Poor maternal bearing down efforts) was the indication in 60.31% of ventouse and 36.26% of forceps deliveries. Prolonged 2nd stage of labour was an indication in 20.63% of forceps and 27.27% of ventouse. Failure rate of ventouse was 9.52%, while forceps was 8.33% . Extension of an episiotomy (30.15%) was more in ventouse than forceps, while 3rd degree perineal tear were seen in (36.36%) cases, vaginal wall lacerations (72.7%) and traumatic PPH (27.27%) occurred more with forceps deliveries. Babies who had ventouse deliveries had higher Apgar score at one minute than those in whom forceps deliveries were done. Conclusion: Ventouse is the preferred instrument whenever the need arises for instrumental delivery. It causes much less maternal morbidity. However neonatal morbidity was insignificant in both the study groups. 

Keywords: Instrument Delivery; Ventouse; Vaginal Delivery.  

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6518.8

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