University of Khartoum

Comparison Of Vacuum Extraction And Forceps Delivery

Comparison Of Vacuum Extraction And Forceps Delivery

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Title: Comparison Of Vacuum Extraction And Forceps Delivery
Author: El-Murtada, Ahmed
Abstract: The study was a randomized prospective controlled study carried in Omdurman maternity Hospital which compared the vacuum extractor and the forceps on terms of efficiency, indications, Anaesthesia, maternal and neonatal morbidity and mortality. The subject were 286 women requiring instrumental vaginal delivery of whom 174 were allocated to the forceps and 112 to the vacuum extractor randomly. Of the vacuum extractor group 89.3% were delivered by the allocated instrument compared to 85.1% by the forceps (X2 =1.052 p=0.0358). The vacuum extractor has higher success rate in rotational vaginal delivery than forceps and has usage near the end of the first stage to deliver distress fetuses as special indication. There were fewer women in the vacuum group requiring general anesthesia than in the forceps group. Maternal and neonatal complications were fewer in the vacuum group than the forceps without significant statistical differences. Cephalohaematoma and neonatal jaundice were higher in the vacuum group while post partum haemorrhage occurred mainly in the forceps group. The vacuum extractor is less likely associated with low Apgar score at the first minute that the forceps (X2 =37.267 p= 0 ). There was one perinatal death in the vacuum group and three in the forceps group and all were due to birth asphyxia. There was no maternal mortality in both groups.
Description: 99 Pages
URI: http://khartoumspace.uofk.edu/handle/123456789/8594
Date: 2015-04-08


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