Study of fetomaternal outcome in instrumental vaginal deliveries at a tertiary teaching hospital

Abstract

Objectives: To study the maternal and neonatal outcome in patients undergoing instrumental vaginal delivery (vacuum & forceps delivery) at a tertiary care teaching hospital. Methods: This retrospective study was carried out in patients undergoing instrumental vaginal delivery during the study period. Results: In present study total 266 patients were included. 1.39 % instrumental vaginal deliveries were noted. Most common age group in present study was 21-25 years in both groups (39 %- vacuum, 41%- forceps). Instrumental vaginal deliveries were common in patients with 37-40 weeks of gestation. In present study most common indication for Instrumental vaginal delivery (vacuum & forceps) was delayed second stage (32 %) followed by fetal distress (26 %) & medical disorders (18 %). In present study, 3 fresh still births and 3 early neonatal deaths were noted, common indication was fetal distress in second stage of labour. We noted cervical lacerations (15%), PPH requiring blood transfusion (13%) , vaginal lacerations (10%), extension of episiotomy (5%) & perineal injuries (2%) as maternal complications. Neonatal jaundice was most common neonatal complication in present study (9 %- vacuum, 15%- forceps). Conclusion: Instrumental vaginal delivery remains useful procedure if applied judiciously by a trained obstetrician. It helps to improve neonatal and maternal outcome, also helps to reduce caesarean delivery rate.

Keywords

• instrumental vaginal delivery
• forceps delivery
• vacuum delivery