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Indian Journal of Obstetrics and Gynecology

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

, Riddhima Shetty , Annie Rajaratnam

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Indian Journal of Obstetrics and Gynecology 5(3 (Supplement)):p 313-313, Jul-Sep 2017. | DOI:

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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. James Young Simson was the first to use traction to deliver a baby. It was later modified by Malmstrom in 1953. The obstetric forceps had its history from the time of Chamberlain family in the seventh century. Aim: To observe the immediate maternal & neonatal effects of vacuum & forceps deliveries & to compare the effects of the same. Materials & Methods: This was a prospective study was done in Yenepoya Medical College from 2017 Jan to July. 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, 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 (36.36%), vaginal wall lacerations (72.7%), traumatic PPH (27.27%) occurred more with forceps deliveries. Babies who had ventouse deliveries have higher Apgar score at one minute than forceps deliveries. Conclusion: Ventouse is the prefered instrument whenever the need arises for instrumental delivery. It causes much less maternal morbidity. However neonatal morbidity in insignicant in both the groups. 

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