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[Instrumental extraction in 2002 in the "AURORE" hospital network: incidence and serious neonatal complications].

AbstractOBJECTIVES:
The purpose of this study was to evaluate the incidence of forceps and vacuum application and the incidence of its related neonatal complications. This study was performed in a network of 37 maternity hospitals.
PATIENTS AND METHOD:
A postal questionnaire was sent to 156 obstetricians between February and March 2003.
RESULTS:
Response rate was 78%. In 2002 the operative vaginal delivery rate was 11.2% of all live births. Forceps are the primary instruments (6.3%) whereas vacuum delivery rate was 4.9%. One obstetrician never uses forceps while 38 (31%) never use vacuum. Only 29 (24%) report using both instruments frequently. During 2002 no neonatal death related to an operative vaginal delivery was reported while 145 neonatal complications were (3.2%). Major complications were one depressed skull fracture (1/4589) and 14 extensive caput succedaneum (14/4589). Minor complications were cutaneous lesions (124/4589) and facial palsy (6/4589). Vacuum delivery was associated with a significantly higher extensive caput succedaneum rate (P = 0.018) while the only depressed skull fracture observed was related to forceps use. Forceps delivery was associated with a significantly higher cutaneous lesions rate (P < 0.001).
DISCUSSION AND CONCLUSIONS:
This study showed that, in 2002, operative vaginal deliveries still represent a significant amount of vaginal deliveries, a majority of obstetricians do not use both instrument and neonatal associated complications are frequent (3.2%) but rarely severe. Therefore, we believe that every method that allows a safe teaching of operative delivery should be promoted.
AuthorsO Dupuis, R Silveira, T Redarce, A Dittmar, R-C Rudigoz
JournalGynecologie, obstetrique & fertilite (Gynecol Obstet Fertil) Vol. 31 Issue 11 Pg. 920-6 (Nov 2003) ISSN: 1297-9589 [Print] France
Vernacular TitleExtraction instrumentale en 2002 au sein du réseau AURORE : incidence et complications néo-natales graves.
PMID14623555 (Publication Type: English Abstract, Journal Article)
Topics
  • Adult
  • Female
  • France (epidemiology)
  • Hospitals, Maternity (statistics & numerical data)
  • Humans
  • Obstetric Labor Complications (epidemiology)
  • Obstetrical Forceps (adverse effects, statistics & numerical data)
  • Pregnancy
  • Pregnancy Complications
  • Pregnancy Outcome (epidemiology)
  • Retrospective Studies
  • Surveys and Questionnaires
  • Vacuum Extraction, Obstetrical (adverse effects, statistics & numerical data)
  • Wounds and Injuries (epidemiology, etiology)

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