Open AccessMaternal and Neonatal Outcomes of Operative Vaginal Deliveries at a Single Tertiary Center
Author(s) -
Nihal Al Riyami,
Manar Al Salmiyah,
Durdana Khan,
Intisar Al Riyami
Publication year - 2021
Publication title -
oman medical journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.395
H-Index - 31
eISSN - 2070-5204
pISSN - 1999-768X
DOI - 10.5001/omj.2021.61
Subject(s) - medicine , obstetrics and gynaecology , kiwi , neonatal intensive care unit , forceps , retrospective cohort study , obstetrics , vaginal delivery , cohort , pregnancy , pediatrics , surgery , ecology , genetics , biology
Objectives: Our study sought to assess the maternal and neonatal outcomes of operative vaginal deliveries (OVDs) at Sultan Qaboos University Hospital (SQUH). We assessed the proportion of OVDs along with the proportion of maternal and neonatal outcomes of kiwi OmniCup vacuum, metal cup vacuum, and forceps deliveries. Methods: We conducted a retrospective cohort study in the Obstetrics and Gynecology Department at SQUH from June 2015 to March 2018. The hospital information system was utilized to obtain records of all women who delivered at SQUH by vacuum or forceps during the study period. We collected data on maternal demographics, maternal and neonatal outcomes, and total number of deliveries. Results: During the study period, 3.8% of deliveries were OVDs. The most common instrument used was the Kiwi OmniCup vacuum device. No significant difference was found between the type of tears and instrument used except perineal tears (p =0.003), which was seen more in the vacuum group, particularly Kiwi OmniCup. Neonatal birth weight (p =0.046) was significantly higher in the metallic vacuum cup group. Thirty-one neonates (6.6%) were admitted to the neonatal intensive care unit, and most were born using Kiwi OmniCup vacuum (67.7%). Conclusions: OVD is an ideal alternative to cesarean section with fewer maternal and neonatal complications in women who cannot deliver spontaneously if performed by a well-trained obstetrician.