التفاصيل البيبلوغرافية
| العنوان: |
Operative vacuum vaginal delivery: effect of compliance with recommended checklist. |
| المؤلفون: |
Pintucci, Armando, Consonni, Sara, Lambicchi, Laura, Vergani, Patrizia, Incerti, Maddalena, Bonati, Francesca, Locatelli, Anna |
| المصدر: |
Journal of Maternal-Fetal & Neonatal Medicine; May2021, Vol. 34 Issue 10, p1627-1633, 7p |
| مصطلحات موضوعية: |
OBSTETRICAL forceps, ANUS, PERINEAL care, BRACHIAL plexus, TEACHING hospitals, HEAD injuries, DELIVERY (Obstetrics), EPISIOTOMY, OBSTETRICAL extraction, RETROSPECTIVE studies, QUESTIONNAIRES, WOUNDS & injuries, RESUSCITATION, PERINEUM |
| مستخلص: |
Purpose: Even if the prerequisites and the technique of vacuum extraction are largely established, the role of a checklist in this field has not been tested. To evaluate the role of a checklist implementation on the compliance with the recommended rules in operative vacuum vaginal delivery (OVD) and on maternal and perinatal outcomes.Materials and Methods: Retrospective cohort study on OVD between January 2012 and December 2015 at two hospitals with a tradition of teaching of OVD. A checklist for OVD was introduced in 2014. Three rules had to be recorded: fetal head station and position determination, no more than four tractions, and no more than three cup applications. Adverse maternal outcomes included third- and fourth-degree perineal tears. Adverse neonatal outcome included asphyxia, need for neonatal resuscitation, NICU admission, major head injuries, scalp injuries, and bone or brachial plexus injuries.Results: Introduction of a checklist for OVD resulted in an increase in the compliance with the rules (83.3 versus 62.8%, p < .001). Cases in which the rules were respected had lower incidence of third- and fourth-degree perineal lacerations after controlling for episiotomy, nulliparity, and indication for OVD (OR = 0.4, 95% CI 0.18-0.89), but similar rates of failure of OVD (2.1 versus 2.2%, p = 1) and adverse neonatal outcome (10.8 versus 11.7%, p=.71).Conclusion: Knowledge and documented compliance with a checklist of recommended rules in OVD may assist in achieving a lower rate of severe perineal and anal sphincter injury but does not alter the success of the procedure or neonatal outcome. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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