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Indication and Outcome of Forceps Deliveries in Lagos: A Study of 553 Cases
Author(s) -
GiwaOsagie Osato F.,
Ogunyemi Dotun O.,
MRCOG Bomi K. Ogedengbe
Publication year - 1987
Publication title -
asia‐oceania journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0389-2328
DOI - 10.1111/j.1447-0756.1987.tb00010.x
Subject(s) - medicine , forceps , eclampsia , obstetrics , apgar score , perinatal mortality , fetal distress , complication , pregnancy , pediatrics , fetus , surgery , genetics , biology
Of 14,982 deliveries between 1976–1981 at LUTH, 553 (3.7%) were by forceps of which 88.4% were mid‐forceps and 11.6% were outlet forceps deliveries. The commonest indication was pre‐eclampsia/eclampsia (34.2%) followed by prolonged second‐stage of labour 23.3%,‐ Fetal distress (6.9%,) and prematurity (2.9%,) were uncommon indications. Seventy‐four (13%,) babies had Apgar >5 at 5 minutes. There were 64 perinatal deaths ‐31 fresh stillbirths, 20 macerated stillbirths and 13 neonatal deaths. Sixty‐three of the perinatal deaths were in cases with pre‐existing maternal, obstetrical or fetal complication, the corrected perinatal mortality rate (PNMR) for this was 184.5/1000 while for the uncomplicated elective cases it was 7.7/1000. Pre‐eclampsia/eclampsia was associated with 30 (47.6%) of the perinatal deaths. PNMR was lowest for babies weighing 3.1–4 kg. There were 7 maternal deaths, 6 from eclampsia. There was morbidity in 14.1% cases, the commonest being P.P.H. (9.1%,).