title: A comparative study of feto-maternal outcome in instrumental vaginal delivery.
abstract: OBJECTIVE
  To compare maternal and neonatal outcomes of vacuum versus forceps application in assisted vaginal delivery.
  
  
  METHODS
  Women in labor with vertex presentation were delivered by vacuum and forceps. A total of 120 cases were included in this prospective study. Maternal and neonatal morbidity were compared in terms of perineal lacerations, episiotomy extension, post-partum hemorrhage, Apgar score, instrumental injuries, NICU admissions PNM etc. χ(2) test was used to analyze the data.
  
  
  METHODS
  Maternal morbidity viz. episiotomy extension as well as first and second degree perineal tear were significant in the forceps group (P = 0.0001 and P = 0.02, respectively). With regards to neonatal morbidity, no statistically significant difference was noted.
  
  
  CONCLUSIONS
  Vacuum and forceps should remain appropriate tools in the armamentarium of the modern obstetrician. However, ventouse may be chosen first (if there is no fetal distress) as it is significantly less likely to injure the mother.
authors.affiliation: Department of Obstetrics and Gynaecology, Pt. J.N.M. Medical College & Dr. B.R.A.M Hospital, E-8, Shankar Nagar, Raipur, Chhattisgarh 492001 India.
authors.forename: Abha
authors.initials: A
authors.lastname: Singh
authors.forename: Pratibha
authors.initials: P
authors.lastname: Rathore