Afshan Ambreen, Khizera Anwar, Muhammad Rashid Ayub, Nabila Rashid.
Comparison of neonatal and maternal outcome between forceps and vacuum delivery.
Pak J Med Health Sci Jan ;5(4):764-7.

Objectives: To evaluate the neonatal and maternal morbidity, associated with the use of two instruments, and to evaluate which is safer and more effective of the two. Study design: Cross sectional analytical study. Setting: Department of Obstetrics and Gynaecology, Fatima Memorial Hospital, Lahore. Duration of study: Six months. Subjects and methods: This cross sectional study was carried out at Fatima Memorial Hospital, Lahore over a period of SIX months.120 pregnant women meeting the inclusion criteria were registered. Risks/benefits explained, informed consent taken. A detailed history taken, examination done, Baseline investigations (CBC, blood group, urine C/E.BSR, USG) done.60 patients were selected for forceps delivery.60 patients for vacuum extraction. Results: The mean age of patients in vacuum group was 25.58 years, and 26.67 years in forceps group. Most of the patients were primigravida,53.33% in vacuum group and 61.67% in forceps group.61.67% patients were booked in vacuum group and 58.33% in forceps group3.33% patients had 3rd degree perineal tears in vacuum group and11.67% patients in forceps group. 4th degree perineal tear was found in 10% patients in forceps group and none in vacuum group.30% babies delivered through vacuum and 36.67% babies delivered by forceps, had an apgar score <7/10 at 1 minute. After 5 minutes 8.33% neonates in vacuum group and 15% in forceps group had an apgar score <7/10. Cephalhaematoma was seen in 20% neonates in vacuum group, and 5% neonates in forceps group. Conclusion: Vacuum causes much less maternal morbidity in terms of third and fourth degree perineal tears while most of the neonatal morbidities are insignificant in comparison with both instruments.

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