Complication rates following rotational forceps delivery ‘low’
The short-term rates of neonatal and maternal complications following successful Kielland’s rotational forceps delivery are low and comparable with other forms of delivery, and lower than those seen with cesarean delivery, say UK investigators.
Publication date: December 2018Source: Epilepsy &Behavior, Volume 89Author(s): Frank John Emery Vajda, Terence John O'Brien, Janet Elizabeth Graham, Alison Anne Hitchcock, Raphael John Paul Kuhn, Cecilie Margaret Lander, Mervyn John EadieAbstractThe literature suggests that cesarean delivery or birth is carried out more often in pregnant women with epilepsy (WWE) than in pregnant women in the general population. Data were utilized from the Australian Pregnancy Register (APR) for Women on Antiepileptic Medication to investigate this issue in Australia.Over almost two decades, the mean CS rate in 1900 APR women was 39.2%...
CONCLUSIONS Four-dimensional pelvic floor ultrasonography can be used as a preferred method in evaluating POP. Regarding the relationship between delivery mode and POP, there is a significant correlation between vaginal delivery and POP. PMID: 30391992 [PubMed - in process]
Abstract The literature suggests that cesarean delivery or birth is carried out more often in pregnant women with epilepsy (WWE) than in pregnant women in the general population. Data were utilized from the Australian Pregnancy Register (APR) for Women on Antiepileptic Medication to investigate this issue in Australia. Over almost two decades, the mean CS rate in 1900 APR women was 39.2%, but was only 29.9% in women in the general population (relative risk (R.R.) = 1.31, 95% confidence interval (C.I.) 1.24, 1.39). Rates for forceps and suction-assisted delivery were similar in the two datasets. The 9.3% excess...
Complicated operative vaginal deliveries are associated with high neonatal morbidity and maternal trauma, especially if the procedure is unsuccessful and a cesarean delivery is needed. The decision to perform an operative vaginal delivery has traditionally been based on a subjective assessment by digital vaginal examination combined with the clinical expertise of the obstetrician. Currently, there is no method for objectively quantifying the likelihood of successful delivery. Intrapartum ultrasound has been introduced in clinical practice to help predict the progression and final method of delivery.
Conclusion In low- and middle-income countries, operative vaginal delivery is becoming less utilized while cesarean delivery is becoming an increasingly common mode of delivery. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text
CONCLUSION: Forceps and vacuum delivery is associated with increased rates of severe perinatal morbidity and mortality compared with Caesarean delivery among women with dystocia, whereas vacuum delivery is associated with decreased rates of severe maternal morbidity and mortality. PMID: 30366887 [PubMed - as supplied by publisher]
Risk factors for poor perineal outcome after operative vaginal delivery, Published online: 18 October 2018; doi:10.1038/s41372-018-0252-2Risk factors for poor perineal outcome after operative vaginal delivery
Publication date: Available online 29 September 2018Source: Best Practice &Research Clinical Obstetrics &GynaecologyAuthor(s): Olaa Mohamed-Ahmed, Kim Hinshaw, Marian KnightAbstractDuring the past decade, there has been an increase in the awareness of infections associated with pregnancy and delivery. The most significant cause of post-partum infection is caesarean section, with 20–25% of operations, followed by wound infections, endometritis or urinary tract infections. Approximately 13% of women in the UK undergo operative vaginal delivery (OVD) with forceps or vacuum, which is also associated with an incre...
Ultrasound in Obstetrics&Gynecology,Volume 52, Issue S1, Page 157-157, October 2018.