Indications and maternofetal outcome of instrumental deliveries at the University Teaching Hospital of Yaoundé , Cameroon

Nkwabong, E.; Nana, P. N.; Mbu, R.; Takang, W.; Ekono, M. R.; Kouam, L.
January 2011
Tropical Doctor;Jan2011, Vol. 41 Issue 1, p5
Academic Journal
Instrumental deliveries are believed to be associated with increasedmaternal and, especially, fetal morbidity andmortality. Hence, it is less practiced inmany developing countries.The aimof this retrospective study, conducted between1January 2007 and 31December 2008, was to assess the prevalence, indications, neonatal wellbeing andmaternal complications of instrumental deliveries. Of 3623 vaginal deliveries, 84 (2.3%) instrumental deliveries were conducted.Themost common indication was a prolonged second stage of labour. Fetal wellbeing, measured by theApgar score, was good and was similar in the groupwho had forceps deliveryand that of the vacuum extraction delivery group.Maternal complications, usually minor, were vaginal and perineal tears. Instrumental delivery should be encouraged and taught in order to reverse the rising caesarean section rate.


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