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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Feto-maternal Outcomes between Instrumental Vaginal Delivery and Caesarean Section in Second Stage of Labour: A Prospective Interventional Study
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Feto-maternal Outcomes between Instrumental Vaginal Delivery and Caesarean Section in Second Stage of Labour: A Prospective Interventional Study

机译：劳动阴道递送与第二阶段的辅助母体成果：一个前瞻性介入研究

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Rates of caesarean section deliveries are increasing worldwide including India. The reasons for this increasing trend are many. Caesarean section being a major operative procedure is associated with various complications. Instrumental vaginal delivery has the advantage of reducing these complications associated with caesarean delivery. As of today, there is no clear consensus regarding the safest and most effective mode of intervention in second stage of labour.Aim: To compare foetal and maternal outcomes between instrumental vaginal delivery and caesarean section in second stage of labour.Materials and Methods: It was a hospital based prospective interventional study, conducted over a period of 18 months. A total of 104 mothers with live, singleton, term foetuses in vertex presentation who required intervention in second stage of labour were included in the study. The entire study population was divided into two groups depending on the type of intervention used in second stage- instrumental vaginal delivery (n=52) and caesarean section (n=52). Maternal outcomes of Postpartum Haemorrhage (PPH), perineal lacerations, febrile illness, blood transfusion and wound infection were compared using Chi-square test. Neonatal outcomes like birth weight, need for resuscitation, APGAR score, neonatal jaundice, sepsis and mortality were compared using Chi-square test and t-test.Results: Mothers undergoing caesarean section had more atonic PPH (5.8%), need for blood transfusion (19.2%), postpartum wound infection (17.3%) and febrile illness (26.9%, p=0.010). Third and fourth degree perineal lacerations were more common in the instrumental delivery group (19.2%, p=0.001). Mean weight of babies born by caesarean section (3127 g) was higher than those by instrumental delivery (2962 g). Composite neonatal outcome was not significantly different in both groups.Conclusion: Caesarean section in second stage of labour leads to increased maternal morbidity as compared to instrumental vaginal delivery. In skilled hands these instruments can aid in smooth delivery of a healthy baby and can avoid the risks associated with second stage caesarean section.
机译：凯撒段交付的速率正在增加全球，包括印度。这种越来越多的趋势的原因很多。作为主要操作过程的剖腹产有关与各种并发症有关。仪器阴道递送具有减少与剖腹产相关的这些并发症的优点。截至目前，在Lapour.aim的第二阶段，对最安全和最有效的干预模式没有明确的共识：在Labourmatials和方法的第二阶段将泌尿膜阴道分娩和剖腹产之间进行比较胎儿和母体成果：它是一项基于医院的前瞻性介入研究，在18个月内进行。在研究中，共有104名母亲，单身，单身，术语，术语患者在劳动力第二阶段中需要干预。根据第二阶段有乐曲阴道递送（n = 52）和剖腹产（n = 52）的干预类型，整个研究人群分为两组。使用Chi-Square试验比较了产后出血（PPH），会阴撕裂，发热性疾病，输血和伤口感染的母体结果。使用Chi-Square测试和T-Test.Results比较新生儿成果，如出生体重，需要复苏，APGAR评分，新生儿黄疸，败血症和死亡率，患者患有更多的剖腹产PPH（5.8％），需要输血（19.2％），产后伤口感染（17.3％）和发热疾病（26.9％，P = 0.010）。第三和第四度的Peineal撕裂在仪器递送组中更常见（19.2％，p = 0.001）。剖腹产（3127 G）出生的婴儿的平均重量高于仪器交付（2962克）。两组综合新生儿结果没有显着差异。结论：与工具阴道递送相比，劳动力第二阶段的剖腹产导致母体发病率增加。在熟练的手中，这些乐器可以帮助平滑地递送健康的婴儿，并可以避免与第二阶段剖腹产相关的风险。

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