Study of fetomaternal outcome in instrumental vaginal deliveries at a tertiary teaching hospital
Anurag A Sonawane, Shrinivas N Gadappa,Rupali A Gaikwad
Objectives: To study maternal and neonatal outcome in patients underwent instrumental vaginal delivery (vacuum and forceps delivery) at a tertiary care teaching hospital. Methods: This retrospective study was carried out in patients underwent instrumental vaginal delivery during study period from January 2019 – December 2019. Results: In present study total 266 patients were included. 1.39 % instrumental vaginal deliveries were noted. Most common age group in present study was 21-25 years in both groups (39 % - vacuum, 41%- forceps). Instrumental vaginal deliveries were common in patients with 37- 40 weeks gestation. Common indication for instrumental delivery was delayed second stage (32 %) followed by fetal distress (26 %) and medical disorders (18 %). Three fresh still births and 3 early neonatal deaths were noted due to fetal distress in second stage of labour. We noted cervical lacerations (15%), PPH requiring blood transfusion (13%), vaginal lacerations (10%), extension of episiotomy (5%) and perineal injuries (2%) as maternal complications. Neonatal jaundice was most common neonatal complication in present study (9 % - vacuum, 15%- forceps. Conclusion: Instrumental vaginal delivery remains useful procedures if applied judiciously by a trained obstetrician. It helps to improve neonatal and maternal outcome, also helps to reduce caesarean delivery rate.