Volume : 7, Issue : 1, January - 2018

Instrumental deliveries: Impact on outcome

Dr. Reena Jatin Wani, Dr. Chitra Champawat, Dr. Harbans Singh Bava, Dr. Yesha Sevalia

Abstract :

<p>&nbsp;</p> <p class="MsoNormal" style="line-height:200%"><b style="mso-bidi-font-weight:&#10;normal"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;">INTRODUCTION </span></b><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;">Operative vaginal birth rates internationally are 5% to 20% ¹ .Indian studies suggest rates of 4% to 20% ² <b style="mso-bidi-font-weight:normal"><span style="mso-spacerun:yes">&nbsp;</span>.<o:p></o:p></b></span></p> <p class="MsoNormal" style="line-height:200%"><b style="mso-bidi-font-weight:&#10;normal"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;">OBJECTIVE</span></b><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;"><span style="mso-spacerun:yes">&nbsp;&nbsp; </span>To assess perinatal outcome with respect to mortality, NICU admission and morbidity in a Tertiary care Institute in all cases of operative vaginal birth over one year period.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><b style="mso-bidi-font-weight:&#10;normal"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;">MATERNAL AND METHODS</span></b><span lang="EN-IN" style="font-size:12.0pt;line-height:&#10;200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;"><span style="mso-spacerun:yes">&nbsp;&nbsp; </span>All instrumental deliveries occurring during October 2016 &ndash; September 2017 were retrospectively studied with respect to labour outcomes, mortality, NICU admission and morbidity.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><b style="mso-bidi-font-weight:&#10;normal"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;">RESULTS</span></b><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;"> Total 3083 patients delivered at our institute during the study period. Instrumental deliveries were 43(1.4%), of which 37 (86%) were forceps delivery, 06 (14%) were vacuum deliveries.12 babies required NICU admission. There was no neonatal mortality.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><b style="mso-bidi-font-weight:&#10;normal"><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Times New Roman&quot;">DISCUSSION</span></b><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;"><span style="mso-spacerun:yes">&nbsp;&nbsp; </span>Operative vaginal delivery is a useful tool in the obstetrician&rsquo;s armamentarium and if selected wisely, there is very low morbidity and mortality.<o:p></o:p></span></p>