Journal article
Trends in operative vaginal delivery rates and associated maternal complication rates in an inner-city hospital
American journal of obstetrics and gynecology, Vol.184(6), pp.1112-1114
05/01/2001
DOI: 10.1067/mob.2001.115178
PMID: 11349172
Abstract
Objective: The aims of this study were to determine trends in operative vaginal delivery rates in a large inner-city hospital and to assess associated risks.
Study design: We performed a retrospective cohort study (1980-1996) of women with singleton term pregnancies who underwent operative vaginal delivery at Grady Memorial Hospital, Atlanta. Maternal complication rates were compared between forceps-assisted and vacuum-assisted methods.
Results: There was a decline in forceps-assisted deliveries during the 1980s and an increase during the 1990s. The vacuum-assisted delivery rate was exceedingly low during the 1980s and increased during the 1990s. Women who underwent forceps-assisted delivery were more likely to be <24 years old, to be nulliparous, and to have had regional anesthesia, midline episiotomies, and infant presentations other than occipitoanterior (P <.001). Women who underwent forceps-assisted deliveries had increased risks of postpartum infection, cervical laceration, prolonged hospital stay, perineal laceration, and postpartum complications.
Conclusion: There were upward trends in the rates of operative vaginal delivery at this inner-city hospital. Women who underwent forceps-assisted delivery had greater rates of maternal complications than did those who underwent vacuum-assisted delivery.
Details
- Title: Subtitle
- Trends in operative vaginal delivery rates and associated maternal complication rates in an inner-city hospital
- Creators
- Wanjiku N Kabiru - Emory UniversityDenise Jamieson - Emory UniversityWilliam Graves - Emory UniversityMichael Lindsay - Emory University
- Resource Type
- Journal article
- Publication Details
- American journal of obstetrics and gynecology, Vol.184(6), pp.1112-1114
- Publisher
- Elsevier
- DOI
- 10.1067/mob.2001.115178
- PMID
- 11349172
- ISSN
- 0002-9378
- eISSN
- 1097-6868
- Language
- English
- Date published
- 05/01/2001
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446410502771
Metrics
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