Document Detail

Maternal and neonatal morbidity after first vaginal delivery using Thierry's spatulas.
MedLine Citation:
PMID:  16171477     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To analyse maternal and neonatal morbidity associated with instrumental delivery using Thierry's spatulas. METHODS: Between January 2001 and December 2003, 570 nulliparous women with term, singleton, cephalic pregnancies gave birth by either instrumental (n = 279) or spontaneous vaginal delivery (n = 291) and were studied in a retrospective case-control study. Maternal and neonatal morbidity were compared in the instrumental vs. spontaneous delivery groups. RESULTS: Women who underwent instrumental delivery using Thierry's spatula were more likely to have severe perineal tears (ORa 7.5, 95% CI 1.5, 32.3), urinary retention (OR 2.7, 95% CI 1.3, 5.6), postpartum blood loss (ORa 3.4, 2.4, 4.9) and extended hospital stay (OR 3.21, 95% CI 2.3, 4.6) than women having a spontaneous vaginal birth. Regarding the infant, one case of subgaleal haematoma was noted. No significant difference was noted in neonatal period. CONCLUSION: This data support the safety of Thierry's spatula on infant outcome. Maternal morbidity observed with Thierry spatulas was similar to that reported in the literature for other modes of instrumental delivery but the risk for perineal morbidity was higher than for spontaneous delivery. Neonatal morbidity appeared to be limited.
Chafika Mazouni; Florence Bretelle; Emmanuelle Collette; Hélène Heckenroth; Pascal Bonnier; Marc Gamerre
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  45     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-09-20     Completed Date:  2006-01-27     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  405-9     Citation Subset:  IM    
Department of Gynecology and Obstetrics, Marseille Public Hospital System (APHM), Marseille, France.
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MeSH Terms
Birth Injuries / epidemiology*,  etiology
Case-Control Studies
Cohort Studies
Confidence Intervals
Extraction, Obstetrical / adverse effects*,  instrumentation
Infant Mortality / trends*
Infant, Newborn
Logistic Models
Obstetrical Forceps / adverse effects*
Odds Ratio
Perineum / injuries
Postpartum Hemorrhage / epidemiology,  etiology
Pregnancy Outcome*
Retrospective Studies
Risk Assessment
Urinary Retention / epidemiology,  etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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