[Failed forceps extraction: risk factors and maternal and neonatal morbidity]. / Facteurs de risque et morbidité maternelle et néonatale des échecs d'extraction instrumentale par forceps.
J Gynecol Obstet Biol Reprod (Paris)
; 41(4): 333-8, 2012 Jun.
Article
em Fr
| MEDLINE
| ID: mdl-22227232
ABSTRACT
OBJECTIVES:
To evaluate risk factors associated with failed forceps delivery and to compare the maternal and neonatal morbidity. PATIENTS ANDMETHODS:
In this retrospective case-control study, all failed forceps delivery cases were analyzed from January 2005 to June 2008 and were compared to a successful forceps delivery cohort.RESULTS:
The rate of failed forceps extraction was 4.4% (40/918). Specific risk factors were extraction above a fÅtal station of S+2 (OR=43.03; IC 95% 3.8-475.41), occipito-posterior position (OR=34.64; IC 95% 4.08-293.5), and biparietal diameter higher than 95mm (OR=10.74; IC 95% 1.4-82.41). Maternal and neonatal morbidity was few in both groups.CONCLUSIONS:
Diagnosis of presentation level and variety of presentation are necessary before instrumental extraction. A "trial of forceps" should be performed with caution in a setting where a caesarean delivery could follow. Vacuum extraction could be interesting in case of occipito-posterior position.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Extração Obstétrica
/
Doenças do Recém-Nascido
/
Complicações do Trabalho de Parto
/
Forceps Obstétrico
Tipo de estudo:
Etiology_studies
/
Evaluation_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Newborn
/
Pregnancy
Idioma:
Fr
Revista:
J Gynecol Obstet Biol Reprod (Paris)
Ano de publicação:
2012
Tipo de documento:
Article