A comparison of the morbidity of midforceps and cesarean delivery.
Neonatal and maternal outcome in 358 midforceps and 486 cesarean deliveries was compared by retrospective analysis. Neonatal outcome was evaluated on the basis of Apgar score, cord blood gas values, admission to the neonatal intensive care unit, and birth trauma. Maternal outcome was based on intraoperative and postoperative complications, blood loss, and hospital stay. There was no increase in significant short-term neonatal morbidity in the midforceps group, while maternal morbidity was higher in the cesarean delivery group. It is concluded that, in selected cases, midforceps delivery is safe for the neonate and mother.
Bashore
R A
RA
Department of Obstetrics and Gynecology, University of California, School of Medicine, Los Angeles.
Phillips
W H
WH
Brinkman
C R
CR
D001034:Apgar Score; D001720:Birth Injuries / Q000209:etiology; D001724:Birth Weight; D002585:Cesarean Section / Q000009:adverse effects*; D005113:Extraction, Obstetrical / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007744:Obstetric Labor Complications / Q000209:etiology; D009772:Obstetrical Forceps / Q000009:adverse effects*; D011247:Pregnancy; D012189:Retrospective Studies