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https://doi.org/10.1016/j.ejogrb.2019.10.050

has been cited by the following article:

• TITLE: The Feto-Maternal Outcome in Instrumental Assisted Vaginal Delivery in Parapokar Maternity and Woman Hospital—A Retrospective Study

  AUTHORS: Anita Maharjan, Radhika Kunwar, Rupa Paneru, Sarmila Prajapati, Tripti Shrestha, Umesh Bahadur Bogatee

  KEYWORDS: Instrumental Delivery, Forceps, Vacuum Extraction, Maternal Morbidity, Perinatal Outcomes

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.12 No.12, December 29, 2022

  ABSTRACT: Aim: To determine maternal and neonatal morbidities associated with instrumental vaginal delivery. Methods: This retrospective study consisted of 233 women undergoing instrumental vaginal deliveries from April 2020 to March 2021 at Paropakar Maternity and Women Hospital, a tertiary care hospital in Kathmandu, Nepal. Neonatal and maternal complications were analyzed. Results: Of 233 women, 102 (43.7%) and 131 (56.2%) had vacuum and forceps deliveries, respectively. The use of instruments was more frequent in infants with higher birth weight and gestational age. There were no significant differences in Apgar scores between the two groups. Two main indications of instrumental deliveries were fetal distress and prolonged second stage labor. Forceps, compared with vacuum, more often caused 3rd/4th perineal tears, tear extending to fornices, and postpartum hemorrhage. Neonatal outcomes were similar in both types of instrumental deliveries. Conclusion: Instrumental vaginal delivery caused maternal morbidity and procedure/judgment training for it is essential.