Maternal and neonatal morbidity after first vaginal delivery using Thierry's spatulas.
Aust N Z J Obstet Gynaecol
; 45(5): 405-9, 2005 Oct.
Article
em En
| MEDLINE
| ID: mdl-16171477
ABSTRACT
OBJECTIVE:
To analyse maternal and neonatal morbidity associated with instrumental delivery using Thierry's spatulas.METHODS:
Between January 2001 and December 2003, 570 nulliparous women with term, singleton, cephalic pregnancies gave birth by either instrumental (n = 279) or spontaneous vaginal delivery (n = 291) and were studied in a retrospective case-control study. Maternal and neonatal morbidity were compared in the instrumental vs. spontaneous delivery groups.RESULTS:
Women who underwent instrumental delivery using Thierry's spatula were more likely to have severe perineal tears (ORa 7.5, 95% CI 1.5, 32.3), urinary retention (OR 2.7, 95% CI 1.3, 5.6), postpartum blood loss (ORa 3.4, 2.4, 4.9) and extended hospital stay (OR 3.21, 95% CI 2.3, 4.6) than women having a spontaneous vaginal birth. Regarding the infant, one case of subgaleal haematoma was noted. No significant difference was noted in neonatal period.CONCLUSION:
This data support the safety of Thierry's spatula on infant outcome. Maternal morbidity observed with Thierry spatulas was similar to that reported in the literature for other modes of instrumental delivery but the risk for perineal morbidity was higher than for spontaneous delivery. Neonatal morbidity appeared to be limited.
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Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
/
5_ODS3_mortalidade_materna
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6_ODS3_enfermedades_notrasmisibles
/
7_ODS3_muertes_prevenibles_nacidos_ninos
Base de dados:
MEDLINE
Assunto principal:
Traumatismos do Nascimento
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Resultado da Gravidez
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Mortalidade Infantil
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Extração Obstétrica
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Forceps Obstétrico
Tipo de estudo:
Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Female
/
Humans
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Newborn
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Pregnancy
País/Região como assunto:
Europa
Idioma:
En
Revista:
Aust N Z J Obstet Gynaecol
Ano de publicação:
2005
Tipo de documento:
Article