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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 10, Issue 2, March 2014 pp 355-356
An Analysis of Operative Vaginal Delivery in a Rural Hospital
Mahendra G.1, Vijayalakshmi S.2, Ravindra S. Pukale3, Sindhu Lakshmi.D.4
1Assistant Professor, 2Professor and HOD, 3Associate Professor, 4Post Graduate Student
Department of OBGY, Adichunchanagiri Institute Of Medical Sciences, B.G. Nagara, Karnataka, INDIA.
Academic Editor : Dr. Aher K. R.
Introduction: The 2nd stage of labour is a dynamic event and may require assistance, assisted vaginal delivery, with the use of forceps or vacuum/ventouse, offers the option to accomplish safe delivery for the mother and the clinician. A successful assisted vaginal delivery avoids caesarean section, its attendant uterine scar and its implications for future pregnancy. Materials and Methods: The prospective study of 100 cases was conducted over 1 year period from August 2012 to August 2013 in Department of OBG at Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka. Results and Discussion: The rate of operative vaginal delivery in the study period was 8.3%,and the ratio between forceps and vacuum delivery was 1:3. Out of 100 operative vaginal deliveries, 71% were vacuum and 29% forceps-assisted. There was no significant difference between vacuum-assisted and forceps-assisted deliveries as regards to maternal age (23 ± 5 years and 22 ± 5 years, respectively), parity- primigravida (84.5% in vacuum and 82.1% in forceps delivery), gestational age at labour (38 ± 2weeks) and Mean birth weight (3kg ± 300g). This correlates with the comparative study by S Abha et al. Conclusion: This study shows that the application of either forceps/vacuum are safe alternatives in complicated deliveries, in selected population of singleton live term pregnancy, with cephalic presentation and birth weight of 2.5- 4 kg. Each instrument appears to have its own advantages and disadvantages. The choice of instruments is subjective and based on assessment of the clinical circumstances and the skill of obstetrician.