Significance of assisted vaginal delivery by forceps in vaginal delivery
ZHU Lin1, ZHANG Xiaoyan2, BAO Di2,JIA Yanyan2,and TIAN Shi1
1.Department of Obstetrics and Gynecology,Beijing Haidian District Maternal and Children Health Care Hospital,Beijing100080,China; 2. Department of Obstetrics and Gynecology, The Second Artillery General Hospital PLA, Beijing100088, China
Abstract：Objective To evaluate the clinical significance of assisted vaginal delivery by forceps in vaginal delivery. Methods In order to reduce the caesarean section rate, assisted vaginal delivery by forceps training was carried out in Beijing Haidian District Maternal and Children Health Care Hospital from 2014. 13 952 pregnant women who delivered in 2014 were included in study group and another 11 588 pregnant women who delivered in 2013 were included in the control group. The complications,delivery mode and maternal and neonatal outcomes in all subjects were recorded and analyzed. Results (1) The caesarean section rate in study group was statistically significantly lower than that in the control group (29.3% vs 38.8%,P<0.01);(2) The forceps vaginal delivery rate was significantly higher in study group than that in the control group (9.40% vs 5.85%, P<0.01);(3)No statistically significant difference was observed in the frequency of postpartum hemorrhage, perineal laceration Ⅲ degree and over, and neonatal asphyxia. Conclusions Strengthening forceps delivery skills among obstetricians may help to reduce the caesarean section rate and promote vaginal delivery without increasing the maternal and neonatal complications.
Lumbiganon P, Laopaiboon M, Gulmezoglu A M, et al.World Health Organization Global Survey on Maternal and Preinatal Health Research Group:Method of delivery and pregnancy outcomes in Asia:the WHO global survey on maternal and perinatal health 2007-2008[J]. Lancet,2010,375:490-498.
[1]
Lumbiganon P, Laopaiboon M, Gulmezoglu A M, et al.World Health Organization Global Survey on Maternal and Preinatal Health Research Group:Method of delivery and pregnancy outcomes in Asia:the WHO global survey on maternal and perinatal health 2007-2008[J]. Lancet,2010,375:490-498.
[2]
American College of Obstetricians and Gynecologists(the College),the Society for Maternity-Fetal Medicine, Caughey A B, et al. Safe prevention of the primary cesarean delivery[J]. Am J Obstet Gynecol, 2014, 210:179-193.
[2]
American College of Obstetricians and Gynecologists(the College),the Society for Maternity-Fetal Medicine, Caughey A B, et al. Safe prevention of the primary cesarean delivery[J]. Am J Obstet Gynecol, 2014, 210:179-193.
Cotzias C S, Palerson-Brown S, Fisk N M, et al.Obstetricians say yes to maternal request for elective cesarean section:a survey of current opinion[J]. Eur Jobstet Gynecol,2001,97(1):15-16.
[5]
Cotzias C S, Palerson-Brown S, Fisk N M, et al.Obstetricians say yes to maternal request for elective cesarean section:a survey of current opinion[J]. Eur Jobstet Gynecol,2001,97(1):15-16.
Demissie K,Rhoads GG,Smulian JC,et al.Operative vaginal delivery and neonatal and infant adverse outcomes population based retrospective ananlysis[J].BMJ,2004,329(7456):24-29.
[10]
Demissie K,Rhoads GG,Smulian JC,et al.Operative vaginal delivery and neonatal and infant adverse outcomes population based retrospective ananlysis[J].BMJ,2004,329(7456):24-29.
2015, Vol. 26 
