Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Operative vaginal delivery involves the use of forceps, a vacuum device, or another instrument by the operator to facilitate fetal extraction from the vagina, with or without concurrent maternal pushing efforts. The primary objective of this study is to compare the maternal and neonatal outcomes between normal delivery and operative vaginal delivery. This prospective case‐control study was conducted at a tertiary care center in India, comprising 193 cases of instrumental delivery and 191 cases of normal delivery. The criteria outlined by the American College of Obstetricians and Gynecologists were employed to define outlet vacuum and outlet forceps deliveries. Control participants, who had normal vaginal deliveries, were matched for age and parity. Data collection was performed using a structured interview schedule and statistical analyses were conducted to fulfill the study's objectives. The incidence of vaginal lacerations was notably higher in the instrumental delivery group compared to the normal delivery group. Additionally, complications such as post‐partum hemorrhage (PPH), puerperal complications, 1‐minute Apgar scores below 7, cephalohematoma and hyperbilirubinemia were observed, with statistically significant differences between the two groups. Operative vaginal deliveries were associated with significantly higher rates of maternal complications, particularly vaginal lacerations and PPH, compared to normal deliveries. Neonatal complications, including low Apgar scores at 1 minute, cephalohematoma, hyperbilirubinemia and facial marks, were also more prevalent in operative vaginal deliveries.
How to cite this article:
Amita Sharma, Shiv Singh Manjhi, Priykant Tomar and Sangeeta Dudve. Prevalence of Maternal and Neonatal Complications in Operative Vaginal Delivery: A Case‐Control Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.503.507
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.503.507