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A Comparative Study of Feto-Maternal Outcome in Instrumental Vaginal Delivery

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Abstract

Objective

To compare maternal and neonatal outcomes of vacuum versus forceps application in assisted vaginal delivery.

Material and Method

Women in labor with vertex presentation were delivered by vacuum and forceps. A total of 120 cases were included in this prospective study. Maternal and neonatal morbidity were compared in terms of perineal lacerations, episiotomy extension, post-partum hemorrhage, Apgar score, instrumental injuries, NICU admissions PNM etc. χ2 test was used to analyze the data.

Observations

Maternal morbidity viz. episiotomy extension as well as first and second degree perineal tear were significant in the forceps group (P = 0.0001 and P = 0.02, respectively). With regards to neonatal morbidity, no statistically significant difference was noted.

Conclusion

Vacuum and forceps should remain appropriate tools in the armamentarium of the modern obstetrician. However, ventouse may be chosen first (if there is no fetal distress) as it is significantly less likely to injure the mother.

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Authors and Affiliations

  1. Department of Obstetrics and Gynaecology, Pt. J.N.M. Medical College & Dr. B.R.A.M Hospital, E-8, Shankar Nagar, Raipur, Chhattisgarh, 492001, India

    Abha Singh (Professor and Head) & Pratibha Rathore (Senior Resident)

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  1. Abha Singh
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  2. Pratibha Rathore
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Correspondence to Abha Singh.

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Singh, A., Rathore, P. A Comparative Study of Feto-Maternal Outcome in Instrumental Vaginal Delivery. J Obstet Gynecol India 61, 663–666 (2011). https://doi.org/10.1007/s13224-011-0119-3

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  • DOI: https://doi.org/10.1007/s13224-011-0119-3

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