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ORIGINAL ARTICLE
Year : 2014  |  Volume : 13  |  Issue : 2  |  Page : 99-104

Disappearing art of forceps delivery and the trend of instrumental vaginal deliveries at Abakaliki, Nigeria


1 Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria
2 Department of Obstetrics and Gynaecology, Imo State University Teaching Hospital, Orlu, Imo State, Nigeria
3 Department of Pathology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria
4 Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
5 Department of Paediatrics, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria

Correspondence Address:
Dr. Robinson Chukwudi Onoh
Department of Obstetrics and Gynaecology, Federal Teaching Hospital, PMB 102, Abakaliki - 480 001, Ebonyi State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2384-5589.144577

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Background: Instrumental vaginal deliveries are conducted for either maternal or fetal indication in well-selected cases to optimize feto-maternal outcome. The trend is changing from forceps toward vacuum deliveries in many countries. Objectives: The aim was to determine the rate of instrumental deliveries, the trend and the feto-maternal outcome. Materials and Methods: This was a retrospective study of all women that had instrumental delivery over 10 year period (between January 1, 2003 and December, 2012) at Federal Teaching Hospital, Abakaliki. Ethical approval was obtained from the Research and Ethics Committee of our hospital. The retrieved information were coded, entered and analyzed using the 2008 Epi-Info™ version 3.5.1 Statistical Software (Centre for Disease Control, Atlanta GA, USA). Results: A total of 768 instrument deliveries was conducted during the study period giving an instrument delivery rate of 768/20977 (3.7%) of total deliveries and 4.4% (768/17627) of the total vaginal deliveries. Vacuum delivery accounted for 764/768 (99.5%) giving a delivery rate of 764/20977 (3.6%), while forceps was 4/768 (0.5%) with a delivery rate of 4/20977 (0.1%). Within the study period, the trend waned from the maximum of 16.3% in 2003 to 79 (10.3%) in 2005 after which it had an upward spike to 83 (10.8%) in 2006. Thereafter, it decreased in the subsequent years reaching the lowest rate of 37 (4.8%) in 2009 and rose progressively till 2012 to the third highest level of 94 (12.3%). This pattern of trend is similar to findings in vacuum deliveries while forceps deliveries was only conducted in 2004 and 2011 with a percentage of 2 (2%) each. The most common fetal complication was birth asphyxia. No maternal mortality was recorded. Conclusion: Vacuum delivery was a common obstetric practice and has almost replaced forceps deliveries in our setting.


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