Instrumental vaginal deliveries

ABSTRACT

The objective of this study was to describe trends in instrumental delivery and to find out frequency of maternal and neonatal complications in a large maternity hospital. All 123 patients undergoing instrumental vaginal delivery in Unit-1 were included. The operative vaginal delivery was 1.17% of total births and 1.648% of vaginal deliveries. Of these 68 women had vaccum extractions while, 55 had forceps delivery. Seventy-one patients were primigravida and the commonest indication for instrumental delivery was fetal distress followed by prolonged second stage. Apgar score at 5 min. was more than 5 in 79.6% of babies. There was one still birth in the vaccum extraction group and five neonatal deaths [all due to birth asphyxia]. There were few maternal complications including only one third degree perineal tear