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Științe medicale. Medicină (11189) |
SM ISO690:2012 CATRINICI, Rodica, FĂRÂMĂ, Catălina, MITRIUC, Diana, GOGU, Maria-Magdalena. Nașterea asistată. particularități de evoluție și rezultate perinatale. In: Buletin de Perinatologie, 2021, nr. 3(92), pp. 50-54. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 3(92) / 2021 / ISSN 1810-5289 | ||||||
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CZU: 618.5-089.888-036 | ||||||
Pag. 50-54 | ||||||
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Background: Assisted vaginal delivery is the birth of the fetus with the help of special tools to ensure efficient extraction of the fetus. Although World Health Organization statistics have estimated that about 68% of births occur naturally, operative vaginal delivery remains at a fairly high level and represents about 10% in the UK, 3% in the USA, and in the Republic of Moldova - 6%. Globally, the quality of assisted deliveries is of particular interest and importance, the aim being reducing perinatal mortality and maternal-fetal complications. Material and methods: The retrospective study was conducted in the Obstetrics Department no.1 of IMSP SCM no.1 during 2020. All cases of operative vaginal deliveries were analyzed, which were 179 cases out of the 2770 natural births that were registered in total. Results: The first place among indications for assisted vaginal delivery was fetal distress which was registered in 135 cases, followed by maternal indications in 12% of cases and thereafter by failure of maternal pushings in 6% of cases. In 97 cases the duration of application was up to 1 minute, in 53 cases - up to 2 minutes, in 22 cases - 3 minutes and in 7 cases - more than 3 minutes. In 73% of cases the fetal head was in the cavity, in 21% - at the exit of the small pelvis, in 6% - with the large segment at the entrance of the small pelvis and all of the 179 cases were successfully completed. When assessing the Apgar score of newborns in the first minute after delivery, we found that their condition was assessed as satisfactory in 76.5% of cases, and in 23.5% of cases mild hypoxia was determined, which in the following minutes of life has been corrected. The soft tissues of the birth canal were damaged in most cases. It was found that the most damaged was the perineum - in 105 cases, followed by vaginal laceration in 87 cases, cervical laceration in 32 cases and labial laceration in 18 cases. Conclusion: Operative vaginal delivery is of special practical interest in the field of obstetrics and remains relevant due to it is impact on perinatal and maternal outcomes, as well as those with early-onset as with late-onset, taking in consideration the severity of complications that may occur. |
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