Medicina Fluminensis, Vol. 48 No. 1, 2012.
Professional paper
Monitoring of increased number of instrumentally assisted vaginal deliveries in the Clinics for Gynecology and Obstetrics, University hospital “Sv. Duh”
Ingrid Marton
; Klinika za ginekologiju “Sv. Duh”, Zagreb, Hrvatska
Dubravko Habek
; Klinika za ginekologiju “Sv. Duh”, Zagreb, Hrvatska
Abstract
Aim: To determine the reasons for more frequent vacuum assisted delivery in past years in the Clinic for gynecology and obstetrics, University hospital “Sv. Duh”. Methods: We performed a retrospective cohort study of 17 982 women who underwent vacuum extraction delivery. Birth records and patient files between 2003 and 2008 were analyzed and compared. Results: The incidence of operative procedures of vaginal assisted delivery (vacuum extractions) was 1.75%, with notable continuous increase during the past years. A total of 52.23% of vacuum extractions deliveries followed after epidural analgesia. The most frequent indications for vacuum extractions were prolonged second stage of labour, acute fetal distress and fetal malpresentation and malrotation. Vaginal Birth After Cesearean (VBAC) is commonly followed by vacuum extraction. The most common non-obstetric indication was myopia alta. Gestational age, birth weight and Apgar score were not significantly different between newborns delivered by vacuum extraction and controls (no assisted vaginal deliveries). Conclusion: Vacuum extraction is the method of choice under appropriate indications and in the hands of an experienced and skilled obstetrician.
Keywords
epidural analgesia; perinatal outcome; vacuum extraction; vaginal assisted delivery
Hrčak ID:
80237
URI
Publication date:
1.3.2012.
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