scholarly journals VACUUM EXTRACTION AND FORCEPS DELIVERIES;

2008 ◽  
Vol 15 (01) ◽  
pp. 87-90
Author(s):  
ALIYA ISLAM ◽  
AISHA HANIF KHAN ◽  
JAVARIA NOSHEEN MURTAZA
Keyword(s):  
Prospective Study ◽  
Success Rate ◽  
Apgar Score ◽  
Fetal Distress ◽  
Vacuum Extraction ◽  
Perineal Tear ◽  
Neonatal Complications ◽  
Second Stage ◽  
Study Setting

Objective: To compare the maternal and neonatal complications after instrumental deliveries.Design: Prospective study. Setting: At MH Rawalpindi. Period: Six months from April 15, 2006 to October 14, 2006.Results: Total 96 instrumental deliveries were carried out; of which 46 were ventouse and 50 were forceps deliveries.58% of forceps deliveries were carried out in nulliparous and 42% in mulitparous patients as compared to 61% ofventouse deliveries in nulliparous and 39% in multiparous patients. Fetal distress was indication in 68% of forcepsdeliveries and 61% ventouse deliveries. Prolong second stage (>1 hr) was the second commonest indication i.e., in18% of forceps deliveries and 13% of ventouse deliveries. Success rate was 90% in ventouse and 97% in forcepsdeliveries. Extension of episiotomy was more likely to occur with ventouse deliveries and third degree perineal tearoccurred more with forceps deliveries. 14 babies were admitted to NICU and 90% of them were due to meconiumstaining. There was only one intrapartum death in the ventouse delivery group and that was due to intrapartumasphyxia. Conclusion: Forceps are more likely to be used in primigravidas and less likely to fail. Most commonindication of instrumental deliveries is fetal distress followed by prolonged second stage. Cephalhaematoma andjaundice are more common in ventouse deliveries. Extension of episiotomy and low apgar score at one minute is morelikely to occur with ventouse deliveries where as third degree perineal tear and subconjuctival haemorrhage are morelikely to occur in forceps deliveries

scholarly journals Comparison between Vacuum and Forceps Extraction to Neonatal outcome on Prolonged Second Stage of Labor

2016 ◽  
Author(s):  
Kurdi Syamsuri
Keyword(s):  
Apgar Score ◽  
P Value ◽  
Vacuum Extraction ◽  
Second Stage Of Labor ◽  
Second Stage ◽  
Significant Difference ◽  
The Subject ◽  
The Common ◽  
The Mean ◽  
Minute Apgar Score

Objective: To assess the effectiveness of vacuum and forceps extraction in prolonged second stage in Dr. Mohammad Hoesin Hospital Palembang. Methods: A retrospective study for 5 years (2005-2009) by doing a prognostic test on prolonged second stage of labor. Results: The subject age most commonly ranges from 20 to 35 years (84.8% in the forceps extraction group and 86% in the vacuum group). The common parity was nulliparity (58.1% in the forceps extraction group and 61.58% in the vacuum extraction). In the forceps extraction group, 76.7% scores >7 in the 1 minute APGAR score with the mean score of 7.14±1.62, whilst in the vacuum extraction group, 79.1% scores >7 in the 1 minute APGAR score, with the mean score of 7.16±1.78. And in the forceps extraction group, 94.2 scores >7 in the 5 minute APGAR score with mean score of 8.62±1.11, whilst in the vacuum extraction group, 93% scores >7 in the 5 minute APGAR score with the mean score of 8.65±1.08. It is concluded that there is no significant differences on both 1 and 5 minute APGAR scores (p value is 0.713 and 0.755, respectively). Maternal complication of extended episiotomy and perineal rupture were found more often in forceps extraction, but with no statistically significant difference (p=0.324). Conclusion: There is no difference of effectiveness between forceps extraction and vacuum extraction in the case of prolonged second stage. Physicians are free whether to use the vacuum or foceps according to their own desirability and skill. [Indones J Obstet Gynecol 2012; 36-1:28-31] Keywords: forceps extraction, prolonged second stage, vacuum extraction

scholarly journals To compare neonatal outcome in fetal distress on cardiotocography in clear liquor versus meconium stained liquor.

2019 ◽  
Vol 26 (09) ◽  
pp. 1562-1566
Author(s):  
Amna Fareed ◽  
Yousaf Haroon ◽  
Asrar Ahmad
Keyword(s):  
Apgar Score ◽  
Neonatal Outcome ◽  
Fetal Distress ◽  
Relevant Information ◽  
Military Hospital ◽  
Obstetrics And Gynaecology ◽  
Group A ◽  
Meconium Staining ◽  
Group B ◽  
Study Setting

Objectives: To compare neonatal outcome in laboring patients having fetal distress on cardiotocography in clear liquor vs meconium stained liquor. Study Design: Cohort study. Setting: Department of Obstetrics and Gynaecology, Military Hospital, Rawalpindi. Period: Six months from 31-01-2016 to 30-07-2016. Patients and Methods: One hundred and eighty two patients (91 in each group) were included in this study. All relevant information was recorded on a preset data collection proforma that included gestational age, cardiotocography (CTG) details, color of liquor and Apgar score at 1 and 5 minutes after birth. In all admitted patients CTG was carried out. Results: The age ranged from 20-40 years of the patients with Mean±SD age of 29.8±6.1 and 30.4±5.7 year in group-A and B, respectively. Regarding Apgar score at 1 minute, 2 (2.1%) babies from group-A and 9 babies (9.8%) from group-B had Apgar score <4. Similarly, Apgar score at 5 minutes, 1 baby (1.1%) from group-A and 10 babies (10.9%) were having Apgar score < 4. Conclusion: Meconium staining with CTG changes is a more significant sign of fetal distress as compared to CTG changes alone.  

scholarly journals Cerebroplacental Ratio in The Prediction of Adverse Perinatlal Outcome in Postdte pregnancy - A prospective study

2020 ◽  
Author(s):  
Labake Victoria Ale ◽  
Nathaniel David Adewole ◽  
Bilal Suleiman ◽  
Hadijat Oluseyi Kolade-Yunusa
Keyword(s):  
Prospective Study ◽  
Apgar Score ◽  
Perinatal Outcome ◽  
Adverse Pregnancy Outcome ◽  
Fetal Distress ◽  
Adverse Perinatal Outcome ◽  
Cerebroplacental Ratio ◽  
Increased Risk ◽  
Fetal Wellbeing ◽  
A Prospective Study

Abstract BACKGROUND: Postdate pregnancies are associated with increased risk of fetal and maternal morbidity and mortality. The cerebroplacental ratio (CPR) is emerging as an important non-invasive tool to assess fetal wellbeing and predict adverse outcome in high risk pregnancies. The aim of this report was to evaluate the value of Doppler CPR in predicting adverse pregnancy outcome in the setting. METHOD: This was a prospective study of 97 pregnant women from 40 weeks of gestation. Fetal Doppler evaluation of the pulsatility index (PI) of the umbilical artery (UA) and middle cerebral artery (MCA) were done and the CPR calculated as MCA-PI/UA-PI. The women were followed up until delivery the following data collected: the Apgar score, birth weight and information about SCBU admission.RESULT: The women were aged 19 – 41 years (mean 30.22±4.8years) and the pregnancies were at 40 – 41+3 weeks. The mean UA-PI, MCA-PI and CPR were 0.83 ±0.16, 1.15±0.19 and 1.42 ± 0.31, respectively. Abnormal UA-PI, MCA-PI and CPR were associated with an increased risk of adverse perinatal outcome (relative risk of 4.72, 7.08 and 9.78 respectively). Abnormal UA-PI was associated with fetal distress, abnormal MCA-PI was associated with fetal distress, low Apgar score at 1minute and special care baby unit admission, and abnormal CPR was associated with fetal distress and low Apgar score at 1minute. CONCLUSION: CPR is a good predictor of adverse perinatal outcome in postdate pregnancy and is recommended as an adjunct in evaluation of fetal wellbeing in this setting and similar settings.

scholarly journals RECURRENT ETHMOIDAL POLYPI

2005 ◽  
Vol 12 (04) ◽  
pp. 466-472
Author(s):  
MUHAMMAD SAEED ◽  
FAROOQ AHMED MIAN
Keyword(s):  
Prospective Study ◽  
Success Rate ◽  
Patient History ◽  
Severity Of Disease ◽  
Fourth Decade ◽  
Surgical Modality ◽  
Study Setting ◽  
Patient Department ◽  
Poor Class

The management of recurrent ethmoidal polypi is an important issue.This study was carried out to compare the results of various surgical modalities which are used for recurrent ethmoidalpolypi. Design: Prospective study. Setting Department of ENT Allied Hospital Faisalabad. Period: From Jan 2001 toDec 2003. Material & Methods: Total 150 patients suffering from recurrent ethmoidal polypi 102 males (68%) and 48females (32%) between 05 years to 90 years of age. The highest incidence was seen during fourth decade of life(27%). The incidence of recurrent ethmoidal polypi was 50 cases per year. The majority of cases were admitted throughout patient department (67%). The highest incidence of patients was seen during the months of March and August(12%). The majority of patients were belonging to poor class (62%). The most common presenting symptom was nasalobstruction (95%). The most common associated disease in patients with recurrent ethmoidal polypi was deflectednasal septum (52%). Nasal polypectomy was carried out in majority of patients (34%). The success rate was highestwith external ethmoidectomy (97%) and lowest with simple nasal polypectomy (75%). Many surgical modalities areavailable for the treatment of recurrent ethmoidal polypi, every procedure has got its own success and complicationrate therefore it is suggested finally that when a surgical modality is adopted it should be based upon patient history,investigations, extent and severity of disease, more over regular follow up of the disease is required to control thedisease.

scholarly journals Forceps or vacuum extraction:a comparison of maternal and neonatal morbidity

2001 ◽  
Vol 7 (1-2) ◽  
pp. 106-114 ◽  
Author(s):  
A. Shihadeh ◽  
W. Al Najdawi
Keyword(s):  
Success Rate ◽  
Gestational Age ◽  
Apgar Score ◽  
Genital Tract ◽  
Neonatal Morbidity ◽  
Vacuum Extraction ◽  
Forceps Delivery ◽  
Fetal Head ◽  
Birth Canal ◽  
Vacuum Delivery

To compare maternal and neonatal morbidity associated with forceps and vacuum delivery, data on 150 women delivered by forceps and 420 delivered by vacuum extraction between 1995 and 1999 at Queen Alia Hospital, Jordan were compared. Data included parity, gestational age, infant birthweight, Apgar score, presentation and station of fetal head, indications for forceps and vacuum deliveries, delivery success rate, and maternal and neonatal morbidity. Maternal birth canal and genital tract lacerations were significantly more common in forceps delivery, and there was significantly increased morbidity in infants delivered by vacuum extraction [caput, jaundice, cephalohaematoma]. Serious neonatal morbidity was rare for both groups.

scholarly journals Pregnancy in Overt and Subclinical Hypothyroidism and its Feto-Maternal Outcome

2014 ◽  
Vol 25 (2) ◽  
pp. 69-71
Author(s):  
Syeda Nazia Akhter ◽  
Rebeka Tarannum ◽  
Mohammed Shafiqul Kabir
Keyword(s):  
Diabetes Mellitus ◽  
Birth Weight ◽  
Prospective Study ◽  
Subclinical Hypothyroidism ◽  
Apgar Score ◽  
Fetal Distress ◽  
Overt Hypothyroidism ◽  
Chronic Hypertension ◽  
Fetal Complications ◽  
Medicine Today

This prospective study was done to find out the maternal and fetal complications of pregnancy in patients with subclinical and overt (TSH level higher than subclinical hypothyroidism) hypothyroidism. Chronic hypertension, anemia with GDM, GDM with preeclampsia and thalassemia with GDM were observed only in patients with overt hypothyroidism. PPH, fetal distress, abortion and IUD were significantly higher (p<0.05) in patients with overt hypothyroidism. Fetal distress was found to be more in patients with overt than subclinical hypothyroidism. This study included 50 admitted patients who were pregnant. Among which, 29 were diagnosed as cases of subclinical hypothyroidism and 21 as that of overt hypothyroidism. Duration of marriage was almost identical between two groups. Multipara was predominant in both groups, however abortions were significantly higher (p<0.05) in overt hypothyroidism. Duration between first conception and marriage was somewhat longer (3-5 years) in patients with overt hypothyroidism than that ( 2 years) in patients with subclinical hypothyroidism. The commonest problem in both groups was anemia. 17.2% of patients with subclinical hypothyroidism were anemic whereas 42.9% patients with overt hypothyroidism suffered anemia. Preeclampsia (23.8%) and diabetes mellitus (38.1%) were also predominant in patients with overt hypothyroidism than in patients with subclinical hypothyroidism (Preeclampsia-3.4% and DM-10.3%). Low Birth Weight (LBW) babies were also common in patients with overt hypothyroidism (80%) than in patients with subclinical hypothyroidism (27.6%). 62.1% of babies from mothers having subclinical hypothyroidism had APGAR score of 7 whereas 73.3% of babies from mothers having overt hypothyroidism had APGAR score of 6 in the first minute. None of the babies were hypothyroid as tested from cord blood. Majority of patients underwent C-section in both groups. DOI: http://dx.doi.org/10.3329/medtoday.v25i2.17924 Medicine Today 2013 Vol.25(2): 69-71

scholarly journals A Case of BeckwithWiedemann Syndrome with Polyhydramnios

2017 ◽  
pp. 185
Author(s):  
Yusrawati Yusrawati ◽  
Reno Muhatiah
Keyword(s):  
Birth Weight ◽  
Prenatal Diagnosis ◽  
Caesarean Section ◽  
Apgar Score ◽  
Rare Case ◽  
Obstet Gynecol ◽  
Fetal Distress ◽  
Polycystic Kidney ◽  
Prenatal Diagnostic ◽  
Female Baby

Objective: To report a rare case of Beckwith-Wiedemann Syndrome with polyhydramnios. Methods: Reporting a case of Beckwith-Wiedemann syndrome with polyhydramnios. Results: Case of Mrs. Y, 27 years old woman, G2P1A0L1 preterm pregnancy (30-31 weeks) with polyhidramnios. From ultrasound found renomegaly, bilateral hyperechogenic polycystic kidney, and the karyotype result was 46,XX. Caesarean section was performed due to fetal distress. A female baby was born by caesarean section with birth weight of 1300 grams, 37 centimeters of body length, and APGAR score of 6/8. The congenital anomalies found were hepatomegaly, renomegaly, bilateral hyperechogenic renal polycystic, low set ears. The baby was died in NICU on day care 5th, with suspected of sepsis. Conclusion: Prenatal diagnosis of Beckwith-Wiedemann syndrome on fetus with polyhydramnios. [Indones J Obstet Gynecol 2017; 5-3: 185-188] Keywords: amniocentesis, beckwith-wiedemann syndrome, polyhydramnios, prenatal diagnostic, USG

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