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An audit of forceps delivery in Trinidad.

机译:特立尼达的产钳审计。

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摘要

An audit of 247 consecutive forceps deliveries during a 6-year period was undertaken in order to establish trends in recourse to this instrument, maternal complications and fetal outcome. The chief indications were prolonged second stage of labour and poor maternal effort. Our overall forceps rate of 0.81% betrays a marked divergence from the practice in metropolitan countries. Although birth injuries were a major drawback, assistance with forceps still appears to be a safer alternative than caesarean section when a problem exists which impedes spontaneous delivery in the second stage. In choosing between obstetric options, we voluntarily take one course which we dislike because the alternative is more objectionable still; the unpleasantness of the choice does not destroy its reality.
机译:为了确定在使用该器械,母体并发症和胎儿结局方面的趋势,在6年期间对247例连续的钳子分娩进行了审计。主要迹象是第二产程延长和产妇工作不良。我们的总钳子率为0.81%,与大城市国家的做法明显不同。尽管出生受伤是一个主要弊端,但是当存在阻碍第二阶段自发分娩的问题时,与剖宫产相比,用镊子辅助仍是一种更安全的选择。在产科选择之间进行选择时,我们自愿采取了一种我们不喜欢的方法,因为这种选择仍然令人反感。选择的不愉快并不会破坏其现实。

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