scholarly journals Assisted Vaginal Delivery - Preference of Vacuum or Forceps among Obstetricians

2021 ◽  
pp. 147-155
Author(s):  
Vijayalakshmi Gnanasekaran ◽  
Shantha Kanamma ◽  
Shanthi Dhinakaran ◽  
Jikki Kalaiselvi
Keyword(s):  
Vaginal Delivery ◽  
Entire Group ◽  
P Value ◽  
Significant Finding ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Assisted Vaginal Delivery ◽  
Choice Of Procedure ◽  
Vaginal Deliveries ◽  
Assisted Delivery

Objective: To determine the instrument preference among obstetricians practicing operative vaginal deliveries and to determine the prevalence and risks of vacuum or forceps Assisted Vaginal Delivery (AVD). Methods: This cross-sectional study was carried out in ACS Medical and Hospital, Chennai. A total of 520 obstetricians were included in the study. An online questionnaire was sent to all obstetricians in Chennai. The choice of procedure for specific circumstances, instrument preference [use of vacuum or forceps] and views on the complications encountered in both vacuum and forceps use at vaginal delivery were explored. For the replies, we computed means and percentages for the entire group and distinct subgroups. Risk assessment of outcome with exposure as suitable p-value was included in the statistical analysis. Results: Response rate for the questionnaire was 97% (504/520). The findings suggest that obstetricians preference was more towards vacuum due to their ease of usage.   Baseline characteristics were similar between the two groups. Failed vacuum due to slipping of the cup was the most common complication faced - 62%, followed by caput succedaneum 25%, both were statistically significant. The most significant finding was that maternal injuries in the vacuum group were only 2% which was way less than those who had forceps delivery (68%) with a p-value of < 0.001. Conclusion: In this research, physician instrument choice is a significant predictor of results that should be taken into account. Use of vacuum for delivery seemed to be the choice of majority of obstetricians [334 (66%)]. Vacuum extractor rather than forceps for assisted delivery appears to reduce maternal morbidity, whereas neonatal injuries were more common in newborns delivered by vacuum. The choice of instrument should be personalized based on the patient's condition and the obstetrician's experience and expertise.

scholarly journals Fetomaternal outcome in operative vaginal delivery

2021 ◽  
Vol 10 (11) ◽  
pp. 4096
Author(s):  
Jeyamani B. ◽  
Nashreen Dhasleema A.
Keyword(s):  
Vaginal Delivery ◽  
Neonatal Outcome ◽  
Breech Presentation ◽  
P Value ◽  
Perineal Tear ◽  
Cross Sectional ◽  
Second Stage ◽  
Operative Vaginal Delivery ◽  
Vaginal Deliveries ◽  
Assisted Delivery

Background: Operative vaginal deliveries (OVD) were performed with the help of vacuum or forceps in the second stage of labor when mother and foetus condition is threatening. A successful assisted vaginal delivery avoids caesarean section and its associated morbidity and implications for future pregnancy. The aim of the study was to assess the maternal and neonatal outcome of vacuum and forceps assisted vaginal deliveries.Methods: It was a retrospective comparative cross sectional study done in VMKVMCH, Salem in obstetrics and gynecology department, from the period of April to June 2021. All the mothers delivered by operative vaginal delivery were included. Mothers with multiple pregnancies, preterm and breech presentation were excluded. Data collected using patients information sheet and analysis was done using SPSS 23. P value <0.05 was considered significant.Results: The most common age group was 21-25 years of age in both groups and most commonly used in primigravida. The most common indication for forceps assisted delivery in our study was the prolonged second stage labour and in vacuum delivery was poor maternal effort. In our study, common complication noted was extended episiotomy followed by perineal tear in forceps group and vice versa in vacuum group. Cephalhematoma was found to be more common in vacuum and scalp and instrumental injuries were more common in forceps assisted vaginal deliveries.Conclusions: Operative vaginal deliveries helps in improving both maternal and foetal outcomes and reduces the caesarean delivery rate and vacuum significantly reduces maternal trauma than forceps. No difference noted in neonatal outcome. 

scholarly journals Vacuum Assisted Vaginal Delivery in Singleton Term Pregnancies: Short Term Maternal and Neonatal Outcome in a Tertiary Hospital of Nepal

2016 ◽  
Vol 4 (2) ◽  
pp. 104
Author(s):  
Buddhi Shrestha ◽  
Subha Shrestha ◽  
Babita Thapa
Keyword(s):  
Vaginal Delivery ◽  
Post Partum ◽  
Birth Asphyxia ◽  
College Teaching ◽  
Neonatal Morbidity ◽  
Short Term ◽  
Assisted Vaginal Delivery ◽  
Vaginal Deliveries ◽  
Skilled Operator ◽  
Assisted Delivery

Introduction: Other than cesarean delivery, assisted vaginal delivery is an alternative procedure for delivery in emergency obstetrics. Presently, vacuum delivery has gained more popularity than forceps for operative/ assisted vaginal delivery, when and where indicated, with success as well as lesser neonatal and maternal complications. This study was done to estimate the short term maternal and fetal morbidity/mortality due to vacuum assisted vaginal delivery.   Methods:  A prospective observational study was conducted at Lumbini Medical College Teaching Hospital from January 2015 to May 2016. One hundred and four pregnant women who had successful vacuum assisted vaginal deliveries were enrolled. Fetal and maternal outcome were assessed.   Results: One hundred and four successful vacuum deliveries (2.9%) were conducted among 3457 deliveries during our study period. Sixty seven (64.4%) were primigravida and most (n=59, 56.7%) parturients were of age group 20-30 years. The commonest (n=65, 62.5%) indication for vacuum application was prolonged second stage of labor. The maternal morbidity variables were: 6.7% (n=7) had genital tract injury, 3.8% (n=4) had primary post-partum hemorrhage, 3.8% (n=4) had urinary retention, 2.8% (n=3) needed blood transfusion. Among neonatal morbidity indicators, 19.2% (n=20) neonates had birth asphyxia, 4.8% (n=5) neonates had cephalohematoma, 0.96% (n=1) had brachial plexus injury. There was one early neonatal death due to meconium aspiration syndrome.   Conclusion: A successful vacuum assisted delivery can be achieved with lesser maternal and neonatal morbidity with timely assessment of labor, skilled operator, and availability of neonatal team.

scholarly journals Maternal Complication Related To Instrumental Delivery At Felege Hiwot Specialized Hospital, Northwest Ethiopia. A Retrospective Cross-Sectional Study

2019 ◽  
Author(s):  
shimeles biru zewudie ◽  
Dagne Addisu sewyew ◽  
Simachew kassa limenh ◽  
Simachew animen bante
Keyword(s):  
Vaginal Delivery ◽  
Northwest Ethiopia ◽  
Instrumental Delivery ◽  
Maternal Complications ◽  
Perineal Tear ◽  
Cross Sectional ◽  
Maternal Complication ◽  
Assisted Vaginal Delivery ◽  
Specialized Hospital ◽  
Assisted Delivery

Abstract ABSTRACT Objective: The study aimed to determine proportion and risk factors for maternal complication related to forceps and vacuum delivery among mother who gave birth at Felege Hiwot Comprehensive Specialized Hospital (FHCSH). Results: Records of 406 mothers managed with instrumental vaginal delivery were reviewed and 97% of the reviewed card had complete documentation. The proportion of maternal complications related to instrumental delivery was 12.1%. A major complication of forceps assisted delivery was 2nd-degree perineal tear (7.4%), 3rd-degree perineal tear (1.5%), cervical tear (1.5%) and episiotomy extension (1%). However, the complication of vacuum-assisted vaginal delivery was only cervical tear (0.5%) and episiotomy extension (0.5%). Episiotomy during instrumental delivery reduce maternal complication by 86% [AOR=0.14, 95%CI=0.07-0.3]. Forceps assisted vaginal delivery had 3.4 times more risk for maternal complication compared to vacuum-assisted vaginal delivery [AOR=3.4, 95%CI=1.08-10.67] and the same is true for primiparity that primipara women who gave birth by the help of instrument had 3.5 times more risk for maternal complication compared to a multipara women [AOR=3.5, 95%CI=1.26-9.98]. Keywords: maternal complication, instrumental delivery, northwest, Ethiopia

scholarly journals Maternal Complication Related To Instrumental Delivery At Felege Hiwot Specialized Hospital, Northwest Ethiopia. A Retrospective Cross-Sectional Study

2019 ◽  
Author(s):  
shimeles biru zewudie ◽  
Dagne Addisu sewyew ◽  
Simachew kassa limenh ◽  
Simachew animen bante
Keyword(s):  
Vaginal Delivery ◽  
Northwest Ethiopia ◽  
Instrumental Delivery ◽  
Maternal Complications ◽  
Perineal Tear ◽  
Cross Sectional ◽  
Maternal Complication ◽  
Assisted Vaginal Delivery ◽  
Specialized Hospital ◽  
Assisted Delivery

Abstract ABSTRACT Objective: The study aimed to determine proportion and risk factors for maternal complication related to forceps and vacuum delivery among mother who gave birth at Felege Hiwot Comprehensive Specialized Hospital (FHCSH). Results: Records of 406 mothers managed with instrumental vaginal delivery were reviewed and 97% of the reviewed card had complete documentation. The proportion of maternal complications related to instrumental delivery was 12.1%. A major complication of forceps assisted delivery was 2nd-degree perineal tear (7.4%), 3rd-degree perineal tear (1.5%), cervical tear (1.5%) and episiotomy extension (1%). However, the complication of vacuum-assisted vaginal delivery was only cervical tear (0.5%) and episiotomy extension (0.5%). Episiotomy during instrumental delivery reduce maternal complication by 86% [AOR=0.14, 95%CI=0.07-0.3]. Forceps assisted vaginal delivery had 3.4 times more risk for maternal complication compared to vacuum-assisted vaginal delivery [AOR=3.4, 95%CI=1.08-10.67] and the same is true for primiparity that primipara women who gave birth by the help of instrument had 3.5 times more risk for maternal complication compared to a multipara women [AOR=3.5, 95%CI=1.26-9.98]. Keywords: maternal complication, instrumental delivery, northwest, Ethiopia

scholarly journals Behavior of Medical Students toward Over-the-Counter Drugs in Comparison to Students from Other Faculties, Riyadh, Saudi Arabia

2021 ◽  
pp. 129-135
Author(s):  
Amar Fathi Mohamed Khalifa ◽  
Yasser Nabil AlKhudairy ◽  
Adel Ahmed Algahtani ◽  
Bandar Mohammed Abduljabbar ◽  
Fahad Majed Aldawsari ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Medical Students ◽  
Cross Sectional Study ◽  
P Value ◽  
Online Questionnaire ◽  
Self Medication ◽  
Cross Sectional ◽  
Over The Counter ◽  
Otc Drugs ◽  
Professional Guidance

Background: Over-the-counter-drugs (OTC) are drugs that can be obtained by patients without a prescription from a physician. In Saudi Arabia, it has been reported that more than half of university students practiced self-medication and used OTC drugs. Methods: An institutional-based cross-sectional study, among medical and non-medical students in Riyadh. The sample size was 421, by systemic random sampling. A pre-coded pre-tested online questionnaire was used. Data was analyzed using SPSS V 23. P-value ≤ 0.05 was considered significant. Results: There was no significant relationship between what the participants were majoring in and the usage of OTC drugs (p value= 0.373). Gender also had no relation with the use of OTC (p value= 0.168). Panadol appeared as the most commonly used OTC drug 62.9% for the relief of the most commonly mentioned factor which is headache 50.12%.  Conclusion: Medical education didn’t have much of an effect on the use of OTC drugs. Moreover, professional guidance or advice was not considered most of the time for taking OTC, but the majority of respondents portrayed good behavior towards usage of OTC.

scholarly journals Awareness and Perception Regarding Corona Virus Disease 19 Outbreak among General Public of Selected Area of Kathmandu

2021 ◽  
Vol 11 (10) ◽  
pp. 67-71
Author(s):  
Kiran Chhetri ◽  
Puspa Kumari Deo
Keyword(s):  
General Public ◽  
Virus Disease ◽  
Sampling Technique ◽  
P Value ◽  
Positive Perception ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Negative Perception ◽  
Awareness Campaigns ◽  
The Government

Background: Coronavirus disease 2019 is an upcoming contagious respiratory infection caused by a new coronavirus named severe acute respiratory syndrome (SARS-CoV2) which is transmitted through the respiratory droplets produced by coughing or sneezing of an infected person. The behavior of the general public will probably have an important bearing on the course of coronavirus disease 2019 (COVID-19) epidemic. Human behavior is influenced by knowledge and perceptions. This paper aims to identify the awareness and perception regarding COVID-19 among general public. Method: A cross sectional descriptive design was used by using structured online questionnaire through Google form. The study was conducted at certain area of Kathmandu. Sample size was 423 with non probability convenience sampling technique. Result: The findings revealed that overall, 44.9% respondents had low, 34.0% had average and 21% had high level of awareness. Likewise, 56.6% had positive perception and 43.2% had negative perception about COVID outbreak. Also 62% respondents had positive and 37.7% had negative perception about prevention of COVID. There is an association between educational status and level of awareness with ‘p’ value lesser than 0.05 at 95% level of confidence. Conclusion: Majority of respondents were not aware about the outbreak of COVID19. Also more than half of respondents had positive perception about outbreak of COVID 19. The effective measures are being taken by the government and the public, still there remains a need for further awareness campaigns and knowledge of safe interventions to combat the spread of disease. Key words: awareness, perception, COVID19, general public.

scholarly journals PREDICTORS OF UPTAKE OF A POTENTIAL COVID-19 VACCINE AMONG NIGERIAN ADULTS

2021 ◽  
Author(s):  
Charles Oluwatemitope Olomofe ◽  
Victor Kehinde Soyemi ◽  
Bolaji Felicia Udomah ◽  
Adeyinka Olabisi Owolabi ◽  
Emmanuel Eziashi Ajumuka ◽  
...  
Keyword(s):  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Capital City ◽  
Vaccine Uptake ◽  
P Value ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Vaccination History ◽  
The Face ◽  
Level Of Significance

ABSTRACTBackgroundThe Coronavirus diseases (COVID-19) pandemic is not abating and there is no approved treatment yet. The development of vaccines is hoped to help in addressing this disease outbreak. However, in the face of anti-vaccines uprise, it is important to understand the factors that may influence the uptake of COVID-19 vaccines as this will influence how successful the fight against COVID-19 will be in the long term.MethodsA cross-sectional study among 776 adult Nigerians (age ≥18 years) was conducted in the 36 States of Nigeria and the Capital City with online questionnaire. The questionnaire consisted of 5 sections: socio-demographic characteristics of respondents, respondent’s knowledge of COVID-19, respondents risk perception of COVID-19, vaccination history of respondents, and willingness to receive COVID-19 vaccine. Descriptive analysis of variables was done and multivariate analysis using logistic regression was carried out to determine the predictors of uptake of a potential COVID-19 vaccine. The level of significance was predetermined at a p-value < 0.05. Data analysis was done with SPSS version 21.ResultsMost of the respondents were male (58.1%). Most participants were willing to take a potential COVID-19 vaccine (58.2%), while 19.2% would not take it with 22.6% indecisive. 53.5% would prefer a single dose COVID-19 vaccine. For vaccine uptake, being male (p= 0.002) and the perception that “vaccines are good” (p< 0.001) were the positive predictor of uptake of a potential COVID-19 vaccine.ConclusionMost Nigerians were willing to take a potential COVID-19 vaccine with the male gender and perception that “vaccines are good” being positive predictors. There is a need for public enlightenment aim at encouraging those that are indecisive or averse to receiving COVID-19 vaccines.

scholarly journals Gaya Hidup Berhubungan dengan Hipertensi

2020 ◽  
Vol 10 (2) ◽  
pp. 66-70
Author(s):  
Emdat Suprayitno ◽  
Sri Sumarni ◽  
Isqi Lailatul Islami
Keyword(s):  
Healthy Lifestyle ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
P Value ◽  
Online Questionnaire ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Data Collection Technique ◽  
Analytic Design

Abstract Hypertension is a major problem as a risk factor for death in cardiovascular disease caused by genetic and lifestyle factors. The purpose of this study was to analyze the relationship between hypertension and lifestyle in Poja Village, Gapura District. This study used a cross sectional analytic design. The population in this study were 73 people. The sampling technique was simple random sampling and data analysis used the Chi Square test, the data collection technique used online questionnaire forms (google forms). Chi square test results obtained P value = 0.001 <a (0.05), which means that there is a relationship between hypertension and lifestyle in Poja Village, Gapura District. Therefore it is important to always adopt a good and healthy lifestyle to prevent hypertension Keywords: Hypertension, lifestyle, the incidence of hypertension

scholarly journals Perception and practice of social distancing among Egyptians in COVID-19 pandemic

2020 ◽  
Vol 14 (08) ◽  
pp. 817-822
Author(s):  
Huny Mohamed Bakry ◽  
Eman Hassan Waly
Keyword(s):  
Disease Transmission ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
P Value ◽  
Public Health Measure ◽  
Online Questionnaire ◽  
Infectious Disease Transmission ◽  
Cross Sectional ◽  
Social Distancing ◽  
Health Measure

Introduction: Social distancing is principally intended to reduce infectious disease transmission by decreasing interactions among people in a broader community. Keeping social distancing is an essential public health measure to resist the COVID-19 pandemic. Methodology: a cross sectional study was conducted among 1,036 Egyptians using an online questionnaire between 5 and 10 May 2020. Results: There was significant association between the practice of social distancing and some sociodemographic factors as sex, age, education, working status, and place of residence at p value < 0.001 and with community of residence at p value 0.021. Conclusions: Egyptians had good perception for social distancing to prevent transmission of COVID 19, but they were not strictly practicing it.

scholarly journals Obstetric and Neonatal Outcome in Second-Pregnancy Patients with One Prior Cesarean Section at A Costarican Hospital 2006-2007

2011 ◽  
Vol 52 (1) ◽  
Author(s):  
Manrique Leal Mateos ◽  
Loretta Giacomin Carmiol ◽  
Rafael A Moya Sibaja
Keyword(s):  
Cesarean Section ◽  
Vaginal Delivery ◽  
Neonatal Resuscitation ◽  
Obstetric Complications ◽  
Obstetric Outcomes ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Neonatal Complications ◽  
Vaginal Deliveries ◽  
Prior Cesarean Section

Aim: To analyze neonatal and obstetric outcomes in second-pregnancy patients with 1 prior cesarean section.Materials and methods: This study is a cross-sectional observational study. We analyzed 306 medical records of patients treated at the Dr. Rafael A. Calderón Guardia Hospital (HCG), from January 1st 2006 to December 31st of 2007. Maternal variables associated to prenatal control were age and obstetrical indication of the previous cesarean delivery. Variables associated to delivery were gestational age, type of delivery, obstetric complications, and length of hospital stay. The neonatal variables were weight at birth, 5 minute Apgar score, neonatal complications, need for neonatal resuscitation or newborn hospitalization and length of hospital stay.Results: 59, 1% of the patients with 1 prior cesarean section had successful vaginal delivery. The percentage of maternal complications was significantly higher for those who underwent a cesarean section during labor.Uterine rupture occurred in 1,3% of the cases and no maternal or neonatal deaths were found as a consequence of such complication. The percentage of neonatal complications was similar for both groups. The need for neonatal resuscitation was significantly higher in the group that underwent an elective caesarean delivery.Conclusion: Our results show that at the HCG from January 1st 2006 to December 31st of 2007, a vaginal delivery in second-pregnancy patients with 1 prior caesarean delivery appears to be safe. The percentage of successful vaginal deliveries, obstetric complications and uterine rupture were similar to those reported in international literature. 

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