[Indications and prognosis of forceps delivery at the University Hospital Center of Dakar].
Based on a study of 382 cases registered in a five years periods (1992-1996), the prevalence of forceps delivery is evaluated at 16 per 1000 deliveries. Averagely these are young (24.5 years), primipare (63%) at term and having problems of abnormal labour. The mains indications are: assistance of expulsion (47.1%), severe foetal distress (15.6%), scarred uterus (15.2%) and eclampsia (8.9%). The most frequent applications are the occipito-pubic grasp (51.3%) and left anterior occipito-iliac grasp (34.8). The maternal morbidity prognosis (6%) is represented by cervical or vaginal traumas and infections. The neonatal prognosis is marked by neonatal mortality rate of 50 per 1000 of life deliveries and by a morbidity rate of 3.4% essentially represented by cutaneous lesions.
Cisse
C T
CT
Clinique Gynécologique et Obstétricale, CHU Dakar, Sénégal.
Ewagnignon
E
E
Fotso
A
A
Maitournam
F
F
Moreau
J C
JC
Diadhiou
F
F
D000293:Adolescent; D000328:Adult; D005113:Extraction, Obstetrical / Q000009:adverse effects / Q000379:methods* / Q000401:mortality / Q000706:statistics & numerical data*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D008423:Maternal Age; D009017:Morbidity; D007744:Obstetric Labor Complications / Q000628:therapy*; D009772:Obstetrical Forceps; D010298:Parity; D018579:Patient Selection; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011379:Prognosis; D012189:Retrospective Studies; D012675:Senegal / Q000453:epidemiology