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- Title
Operative vaginal delivery in the Filantropia Clinical Hospital. A retrospective analysis of the last 15 years.
- Authors
Iancu, George; Gică, Nicolae; Botezatu, Radu; Panaitescu, Anca Maria; Peltecu, Gheorghe
- Abstract
Operative vaginal delivery enables or expedites vaginal delivery by using forceps or vacuum extractor. The prevalence of this type of delivery decreased over time worldwide, because of the concerns regarding the associated risks for both mother and fetus. Although in many services forceps and vacuum delivery are less used, the Filantropia Clinical Hospital of Obstetrics and Gynecology, Bucharest, Romania, maintains good rates of operative vaginal delivery. We evaluated retrospectively the prevalence of operative vaginal delivery over the last 15 years (2003-2007 and 2015-2018) in the Filantropia Clinical Hospital. A total of 25,695 births were assessed. Forceps use has decreased over time from 2.2% in 2003 to 1.2% in 2018, while vacuum delivery increased significantly in prevalence to 3.5% in 2018. Although operative vaginal delivery was often perceived as risky for fetus, the Apgar score at 1 and 5 minutes did not show any significant differences when compared to fetal outcome after spontaneous vaginal delivery. In the Filantropia Clinical Hospital, the profile of operative vaginal delivery changed by increasing the use of vacuum extractor and proportionally decreasing the use of forceps. Concluding, the operative vaginal delivery has its place in modern obstetrics and should be used as a safe alternative to caesarean section in the second stage of labor. Although its prevalence is decreasing, efforts for the training of residents by dedicated mentors should continue as part of obstetrics curricula.
- Subjects
GYNECOLOGY; VACCINATION; IMMUNOLOGY; IMMUNE system; OBSTETRICS
- Publication
Obstetrică şi Ginecologie, 2020, Vol 68, Issue 3, p138
- ISSN
1220-5532
- Publication type
Article
- DOI
10.26416/obsgin.68.3.2020.4013