Abstract

CORTES, Hernán  and  ESCOBAR, Eugenio. Operative vaginal delivery over a 5-year period (2000-2004) at the San Vicente de Paúl teaching hospital in Medellín, Colombia. Rev Colomb Obstet Ginecol [online]. 2006, vol.57, n.1, pp.27-30. ISSN 0034-7434.

Objective: Determining the percentage of operative vaginal deliveries at the San Vicente de Paúl teaching hospital over a five-year period and characterising operative deliveries in relation to the type of forceps, indications, and techniques used. Methods: Descriptive retrospective study carried out at the hospital 2000-2004, including all deliveries during this period. Results: 9,255 deliveries were included; 2% (185) of them were operative vaginal deliveries. Kielland forceps were those most used, 63% being outlet and low forceps. Nineteen percent of patients suffered grade III and IV perineal tears. Conclusions: A low incidence of operative vaginal deliveries was observed; this is decreasing. The incidence of tears was low in relation to other series. The teaching and practice of the art of using forceps should be encouraged.

Keywords : obstetrical forceps; operative vaginal delivery; perineal tears; Colombia.

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