Comparison of maternal and neonatal outcomes after forceps or spatulas-assisted delivery.
Eur J Obstet Gynecol Reprod Biol
; 258: 126-131, 2021 Mar.
Article
em En
| MEDLINE
| ID: mdl-33421809
ABSTRACT
OBJECTIVE:
The aim of this study was to compare the perinatal outcomes associated with spatulas or forceps assisted delivery. STUDYDESIGN:
This is a bicentric retrospective cohort study including all assisted deliveries in cephalic presentation after 37 weeks of gestation, performed on singleton pregnancy with forceps and with spatulas in two tertiary centers. The main outcome was the rate of episiotomy. Secondary outcomes included obstetric anal sphincter injuries (OASIS), maternal outcomes and neonatal parameters.RESULTS:
Out of 37 002 deliveries, the overall rate of assisted delivery was 11.4 %, and 1 041 (2.8 %) assisted deliveries with forceps and 2 462 (6.7 %) spatulas deliveries were included. The rate of episiotomy was 90.3 % after forceps-assisted delivery and 70.9 % for spatulas (p < 0.001). The rate of OASIS was 7.2 % and 5.6 % respectively (p = 0.06). A slight but significant decrease in neonatal trauma after spatulas was observed.CONCLUSION:
In this retrospective cohort study, the episiotomy rate was higher with forceps assisted deliveries than with spatulas. Both instruments have low neonatal morbidity and are similar regarding OASIS.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Períneo
/
Episiotomia
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
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Newborn
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Pregnancy
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article