Forceps, Actual Use, and Potential Cesarean Section Prevention: Study in a Selected Mexican Population
Objective. Assessment of the frequency of complications observed with various forceps and operative vaginal delivery (OVD) techniques performed at the ABC Medical Center (Mexico City) to evaluate their safety, bearing in mind the importance of decreasing our country’s high cesarean section incidence...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2015/489267 |
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| _version_ | 1832548504479727616 |
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| author | Rodrigo Ayala-Yáñez Paulette Bayona-Soriano Arturo Hernández-Jimenez Alejandra Contreras-Rendón Paulina Chabat-Manzanera Roberto Nevarez-Bernal |
| author_facet | Rodrigo Ayala-Yáñez Paulette Bayona-Soriano Arturo Hernández-Jimenez Alejandra Contreras-Rendón Paulina Chabat-Manzanera Roberto Nevarez-Bernal |
| author_sort | Rodrigo Ayala-Yáñez |
| collection | DOAJ |
| description | Objective. Assessment of the frequency of complications observed with various forceps and operative vaginal delivery (OVD) techniques performed at the ABC Medical Center (Mexico City) to evaluate their safety, bearing in mind the importance of decreasing our country’s high cesarean section incidence. Methods. We reviewed 5,375 deliveries performed between the years 2007 and 2012, only 146 were delivered by OVD. Results. Only 1.0% of the cases had a serious, life-threatening situation (uterine rupture). The Simpson forceps was the most favored instrument (46%) due to its simplicity of use, effectiveness, and familiarity. Prophylactic use was the most common indication (30.8%) and significant complications observed were vaginal lacerations (p=0.016), relative risk (RR) of 3.4 (95% confidence interval [CI]: 1.15–10.04), and fourth degree perineal tear (p=0.016), RR of 3.4 (95% CI: 1.15–10.04). Conclusions. Forceps use and other OVD techniques are a safe alternative to be considered, diminishing C-section incidence and its complications. |
| format | Article |
| id | doaj-art-ec8b936f28ef4dbc925d3f784f03ef82 |
| institution | Kabale University |
| issn | 2090-2727 2090-2735 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Pregnancy |
| spelling | doaj-art-ec8b936f28ef4dbc925d3f784f03ef822025-02-03T06:13:54ZengWileyJournal of Pregnancy2090-27272090-27352015-01-01201510.1155/2015/489267489267Forceps, Actual Use, and Potential Cesarean Section Prevention: Study in a Selected Mexican PopulationRodrigo Ayala-Yáñez0Paulette Bayona-Soriano1Arturo Hernández-Jimenez2Alejandra Contreras-Rendón3Paulina Chabat-Manzanera4Roberto Nevarez-Bernal5Obstetrics and Gynecology Division, ABC Medical Center, I.A.P., Avenida Carlos Graef Fdez. 154, Santa Fe, 05300 Mexico City, MexicoObstetrics and Gynecology Division, ABC Medical Center, I.A.P., Avenida Carlos Graef Fdez. 154, Santa Fe, 05300 Mexico City, MexicoObstetrics and Gynecology Division, ABC Medical Center, I.A.P., Avenida Carlos Graef Fdez. 154, Santa Fe, 05300 Mexico City, MexicoObstetrics and Gynecology Division, ABC Medical Center, I.A.P., Avenida Carlos Graef Fdez. 154, Santa Fe, 05300 Mexico City, MexicoObstetrics and Gynecology Division, ABC Medical Center, I.A.P., Avenida Carlos Graef Fdez. 154, Santa Fe, 05300 Mexico City, MexicoObstetrics and Gynecology Division, ABC Medical Center, I.A.P., Avenida Carlos Graef Fdez. 154, Santa Fe, 05300 Mexico City, MexicoObjective. Assessment of the frequency of complications observed with various forceps and operative vaginal delivery (OVD) techniques performed at the ABC Medical Center (Mexico City) to evaluate their safety, bearing in mind the importance of decreasing our country’s high cesarean section incidence. Methods. We reviewed 5,375 deliveries performed between the years 2007 and 2012, only 146 were delivered by OVD. Results. Only 1.0% of the cases had a serious, life-threatening situation (uterine rupture). The Simpson forceps was the most favored instrument (46%) due to its simplicity of use, effectiveness, and familiarity. Prophylactic use was the most common indication (30.8%) and significant complications observed were vaginal lacerations (p=0.016), relative risk (RR) of 3.4 (95% confidence interval [CI]: 1.15–10.04), and fourth degree perineal tear (p=0.016), RR of 3.4 (95% CI: 1.15–10.04). Conclusions. Forceps use and other OVD techniques are a safe alternative to be considered, diminishing C-section incidence and its complications.http://dx.doi.org/10.1155/2015/489267 |
| spellingShingle | Rodrigo Ayala-Yáñez Paulette Bayona-Soriano Arturo Hernández-Jimenez Alejandra Contreras-Rendón Paulina Chabat-Manzanera Roberto Nevarez-Bernal Forceps, Actual Use, and Potential Cesarean Section Prevention: Study in a Selected Mexican Population Journal of Pregnancy |
| title | Forceps, Actual Use, and Potential Cesarean Section Prevention: Study in a Selected Mexican Population |
| title_full | Forceps, Actual Use, and Potential Cesarean Section Prevention: Study in a Selected Mexican Population |
| title_fullStr | Forceps, Actual Use, and Potential Cesarean Section Prevention: Study in a Selected Mexican Population |
| title_full_unstemmed | Forceps, Actual Use, and Potential Cesarean Section Prevention: Study in a Selected Mexican Population |
| title_short | Forceps, Actual Use, and Potential Cesarean Section Prevention: Study in a Selected Mexican Population |
| title_sort | forceps actual use and potential cesarean section prevention study in a selected mexican population |
| url | http://dx.doi.org/10.1155/2015/489267 |
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