Hernández-Hernández D, Ramírez-Montiel ML, Pichardo-Cuevas M, Moreno-Sánchez JA, Jaimes RM Rodríguez, Contreras-Carretotonio NA

Language: Spanish
References: 10
Page: 52-55
PDF size: 63.61 Kb.

ABSTRACT

Introduction. The implementation of labor with forceps has been associated with obstetric trauma. Forceps delivery also has been associated with increased incidence of maternal birth trauma including: pelvic floor injury, urinary incontinence and rectal bleeding and pain increased. The fetal birth trauma includes: fractures, intracranial hemorrhage, various neurological injuries, soft tissue injuries, etc. Various published studies emphasizes the relationship between birth trauma and operator experience. Material and methods. Retrospective, transversal, descriptive study realized in 467 mothers and their newborns with a history of forceps delivery treated at the Woman’s Hospital, Ministry of Health, Mexico City; since 1st January 2009 to May 31st 2011. Results. Sample of 467 patients and their newborns (NB). Average mean age of the mothers was 23.4 ± 5.5 years. Mean age of the newborns was 45.4% women (n = 112), and 54.6% male (n = 255). In forceps delivery was used mainly to Kjelland type in 24.4% (n = 114). The principal indication was therapeutic 55.9% (n = 261) followed by prophylactic 43% (n = 201). Maternal morbidity includes perineal tear (1st to 4th grade) in 38.5% of the mothers (n = 180), uterine rupture in 0.2% of the mothers (n = 1), and obstetric hemorrhage in 12.4% of the mothers (n = 58). Neonatal morbidity was present in 55.9% (n = 261), mainly ecchymosis with 54.4% (n = 142) and caput succedaneum with 35.6% (n = 93). Conclusions. The prevalence of mother and neonatal obstetric trauma is high in the Woman’s Hospital compared to international reports but lower than national reports.

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