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https://elearning.rcog.org.uk/obstetrics/instrumental-delivery
Rates of instrumental deliveries vary from 10 to 13% in the UK. Instrumental vaginal deliveries have the potential for harm to the mother and the baby and so should be undertaken with care. However, a second-stage caesarean section is not a substitute for instrumental vaginal deliveries as it can be extremely difficult to perform and is associated with high morbidity and implications for future births.
https://elearning.rcog.org.uk/easi-resource/background/operative-delivery-rates
This may be, in part, caused by the increased use of continuous electronic fetal monitoring, epidural anaesthesia, the increase in fetal size and the increase in maternal complexity. Instrumental delivery rates in the UK have remained stable at 10–13%.
https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1576/toag.12.4.265.27619
The appropriate use of instrumental delivery, therefore,could not only reduce the risks associated with caesarean section,but also the costs of obstetric care. 6 Instrumental vaginal delivery is also likely to result in higher success rates of spontaneous vaginal delivery in a subsequent pregnancy (78% versus 31%). 7,8 The operator’sAuthor: Prabha Sinha, Anita Dutta, Kate Langford
https://academic.oup.com/bjaed/article/4/4/114/308005
Aug 01, 2004 · The use of epidural analgesia does appear to have an effect on the instrumental delivery rate. A meta-analysis of RCTs comparing epidural with non-epidural analgesia during labour found that instrumental vaginal deliveries were more common in those receiving epidural analgesia, with an odds ratio of 2.19 (95% CI 1.32–7.78).Author: Elizabeth McGrady, Kerry Litchfield
https://www.bmj.com/content/328/7453/1410
Jun 10, 2004 · Abstract. Objective To compare the effects of low concentration epidural infusions of bupivacaine with parenteral opioid analgesia on rates of caesarean section and instrumental vaginal delivery in nulliparous women.. Data sources Medline, Embase, the Cochrane controlled trials register, and handsearching of the International Journal of Obstetric Anesthesia.Author: E H C Liu, A T H Sia
https://www.sciencedirect.com/science/article/pii/S1751721410001818
Instrumental vaginal delivery has been criticized and carries risks. Most instrumental deliveries produce normal outcomes and give no reason for complaint, but the risks of litigation against an accoucheur or the hospital in which he/she practices are increased by an adverse outcome.Author: Rebecca Simms, Richard Hayman
https://www.rcog.org.uk/globalassets/documents/guidelines/gtg_26.pdf
Operative vaginal delivery rates have remained stable at between 10% and 13% in the UK, yielding safe and satisfactory outcomes for the majority of mothers and …
https://www.nhs.uk/conditions/pregnancy-and-baby/ventouse-forceps-delivery/
up to 4 in 100 having a ventouse delivery ; 8-12 in 100 having a forceps delivery ; Higher risk of blood clots. After an instrumental delivery, there's a higher chance of blood clots forming in the veins in your legs or pelvis. You can help prevent this by moving around as much as you can after the birth.
https://www.rcog.org.uk/globalassets/documents/patients/patient-information-leaflets/pregnancy/pi-an-assisted-vaginal-birth-ventouse-or-forceps.pdf
rectum) affects 1 in 100 women who have a normal vaginal birth. It is more common following a ventouse delivery, affecting up to 4 in 100 women (4%). It is also more common following a forceps delivery, affecting between 8 and 12 women in every 100 (8–12%).
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