Volume : V, Issue : VII, July - 2015

Trends of instrumental deliveries at a tertiary care teaching hospital in Puducherry

Sneha Badwe Dhodapkar, Ramesh Chand Chauhan

Abstract :

 Background: The decreasing trend of instrumental deliveries is a major concern in health care system all over the world. Assessing the trends of instrumental deliveries and its major indications would be useful in adopting suitable measures to reduce the caesarean section rate and the problems associated with it. Methodology: This retrospective study was conducted at Pondicherry Institute of Medical Sciences, Puducherry. Data were collected on instrumental deliveries and their indications from the medical records of women delivered over a period of 5 years. (2010–2014). Results: Among a total of 5445 deliveries occurred during study period, 7.7% were instrumental vaginal deliveries. The year–wise rate of instrumental deliveries ranges from 6.1% to 9.8%. During the study period (except during year 2011), a declining trend for instrumental deliveries was observed. Non–reassuring fetal heart (45.3%), maternal exhaustion (23.9%), prolonged second stage of labour (10.7%), maternal indication to cut short second stage of labour (13.1%) and unrotated fetal head (7.1%) were the major indicators for instrumentation. The proportion of instrumental deliveries due to non reassuring fetal heart showed a continuous increase during study period. Conclusion: The instrumental deliveries are showing decreasing trends. There is need to address the issue by improving the instrumental delivery skills.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

SnehaBadwe Dhodapkar, Ramesh Chand Chauhan Trends of instrumental deliveries at a tertiary care teaching hospital in Puducherry Indian Journal of Applied Research, Vol.5, Issue : 7 July 2015

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