INDICATION AND OUTCOME OF FORCEPS DELIVERIES IN A TEACHING HOSPITAL
AbstractOf 2811 deliveries between 1st January 1992 to 31st December 1992 in Gynae A Unit, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar, forceps deliveries were 277 (incidence -9.85%). The incidence of failed forceps was 2.16%. The most common group of indications were abnormalities of 2nd stage (53.09%). There were 31 still births and 12 neonatal deaths. The total perinatal deaths were 43. The commonest cause of still birth was birth asphyxia. Most of neonatal deaths were due to prematurity. The perinatal deaths were in cases with preexisting maternal, obstetrical and fetal complications; 60 of our patients had one or other type of complication. The maternal mortality rate was 1.44c /c, forceps not being the cause of these deaths. We have lost 3 patients due to postpartum haemorrhage and one due to eclampsia. The study also showed that maternal morbidity rate was high. Two of our patients had major complications, i.e. uterine rupture and vesicovaginal fistula. The conclusion is that forceps are not free of risk. They are valuable instruments in expert hands. The risks associated with forceps must be balanced against the potentially more serious sequelae associated with caesarean sections.
Akhtar S: "Vacuum extraction verses forceps
delivery: maternal and fetal morbidity". Short
report. Journal of Medical Sciences, Khyber
Medical College, Peshawar, Pakistan, December,
Berhus MD, Romamerty O, Cannor PS, Brown K,
Hayashi RH. Cohort study of silastic obstetric
vacuum cup deliveries. Safety of the instrument.
Obstetrics and Gynaecology, 1985 Oct; 66(4): 503-
Bottom SF, Hirsch VJ, Sohol RJ. Medical Management
of arrest disorders of labour. A current
overview Am. J. Obstet and Gynaecol 1987 April;
Chow SL, Johnson CM, Anderson TD, Hughes JH.
Rotational delivery with Kielland forceps. Medical
J. Aust., 1987 Jun 15; 146(12): 616-9.
Danforth DN. Dystocia due to abnormal feto- pelvic
relations. Obstetric and Gynaecology 4th Edition
Ch. 34, Harper and Row Publisher Philadelphia,
Giwa-Osagie OF, Ogunyemi D & Ogedegbe BK.
Indication and outcome of forceps deliveries in
Lagos: a study of 553 cases. Asia Oceania J Obstet
Gynaecol, 1987 March; 13(1 ):59-63.
Dierker LJ Jr, Rosen MG, Thompson K, Deb- anne
S & Linn P. The mid forceps: maternal and neonatal
outcome. Am J Obstet Gynaecol, 1985 May 15;
Kadar N. Do mid forceps deliveries really impair
subsequent intelligence quotient scores (letter). Am
J Obstet Gynaecol, 1985 Sept; 15-153(2): 2333-35.
Svigos JM, Cave DG, Vignewaran R, Resell A &
Christiansen J. Silastic cup vacuum extractor or
forceps: a comparative study. Asia Oceania J Obstet
Gynaecol, 1990 Dec;16(4):323-37.
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.