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首页> 外文期刊>International journal of gynecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics >Comparison of outcomes between operative vaginal deliveries and spontaneous vaginal deliveries in southeast Nigeria
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Comparison of outcomes between operative vaginal deliveries and spontaneous vaginal deliveries in southeast Nigeria

机译：尼日利亚东南部手术阴道分娩和自发性阴道分娩结果的比较

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摘要

Objective To evaluate the incidence of, indications for, and outcome of operative vaginal deliveries compared with spontaneous vaginal deliveries in southeast Nigeria. Methods A retrospective cohort study was conducted involving cases of operative vaginal delivery performed at Ebonyi State University Teaching Hospital over a 10-year period. Data on the procedures were abstracted from the operation notes of the medical records of parturients. Results An incidence of 4.7% (n = 461) was recorded. The most common indications for vacuum and forceps delivery were prolonged second stage of labor (44.9%) and poor maternal effort (27.8%). The only indication for destructive operation was intrauterine fetal death (3.7%). The risk ratio (RR) for hemorrhage/vulvar hematoma was 1.14 (95% confidence interval [CI], 0.53-2.48) for vacuum-assisted delivery and 5.49 (95% CI, 0.82-36.64) for forceps delivery. The RR for genital laceration was 1.21 (95% CI, 0.44-3.30) for vacuum-assisted delivery and 9.41 (95% CI, 1.33-66.65) for forceps delivery. The risk of fetal scalp bruises and caput succedaneum was higher for operative vaginal delivery than for spontaneous vaginal delivery, with no significant difference in maternal morbidity. The perinatal mortality rate was 0.9 per 1000 live births. Conclusion Operative vaginal delivery by experienced healthcare providers is associated with good obstetric outcomes with minimal risk.
机译：目的评估与尼日利亚东南部自发性阴道分娩相比，手术阴道分娩的发生率，适应症和预后。方法进行了一项回顾性队列研究，涉及在埃博尼州立大学教学医院进行为期10年的手术阴道分娩的病例。从产妇病历的操作说明中提取了有关程序的数据。结果记录的发生率为4.7％（n = 461）。真空和镊子分娩的最常见指征是第二产程延长（44.9％）和产妇努力不佳（27.8％）。破坏性手术的唯一指征是子宫内胎儿死亡（3.7％）。真空辅助分娩的出血/外阴血肿的风险比（RR）为1.14（95％置信区间[CI]，0.53-2.48），镊子分娩的风险比为5.49（95％CI，0.82-36.64）。真空辅助分娩的生殖器撕裂的RR为1.21（95％CI，0.44-3.30），而镊子分娩的RR为9.41（95％CI，1.33-66.65）。手术中阴道分娩的胎儿头皮擦伤和成功的成功危险要高于自然阴道分娩的风险，而孕产妇的发病率无显着差异。围产期死亡率为每1000例活产0.9例。结论由经验丰富的医疗保健提供者进行的手术阴道分娩与产科效果良好，风险最小有关。

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