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The use of the vacuum extractor in a Nigerian hospital
Author(s) -
Okpere E.E.,
Itabor A.I.
Publication year - 1982
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(82)90042-x
Subject(s) - medicine , vacuum extractor , forceps , cephalopelvic disproportion , vacuum extraction , maternal morbidity , fetal distress , obstetrics , pregnancy , pediatrics , surgery , fetus , caesarean section , biology , genetics
The use of the vacuum extractor over a 5‐year period is reviewed. The instrument was use on 319 occasions, with a 2.8% failure rate and a 25 per thousand corrected perinatal mortality. The maternal morbidity attributable to the use of the instrument was low. The main indications for use were to expedite labor either in the first or second stage because of maternal or fetal distress, and in the rotation and subsequent delivery of the malpositioned vertex. It was found to be particularly useful for the platypellic pelvis with an android tendency, a type rather common in Nigerian parturients.