5‑year retrospective review of instrumental vaginal deliveries in Uyo, Akwa Ibom State, Nigeria
Context: Instrumental vaginal deliveries are deliveries conducted using obstetric forceps or vacuum extractor and are an essential component of basic emergency obstetric care.
Objective: To determine the rate of instrumental deliveries and their outcome over a 5‑year period (2013–2017) at the University of Uyo Teaching Hospital.
Study Design and Methods: A 5‑year retrospective review of maternity delivery records. A survey of 16 resident doctors of the department was also done to determine their views on the rate of instrumental deliveries in the hospital.
Results: During the study period, there were 6,754 deliveries; of these 109 (1.61%) were instrumental deliveries. Vacuum extractions accounted for 97 (88.99%) of the instrumental deliveries and there were only 12 (11.01%) forceps deliveries. The majority of the instrumental deliveries were carried out on booked women (78; 82.98%), with low parity (Para 1; 73.83%), term mothers (59.4%), and normal birth weight babies. There were only five stillbirths (4.59%), all of which were vacuum extractions and were comparable to 4.5% among spontaneous vertex deliveries and less than 6.2% among caesarean sections and 45.5% among breech deliveries. This was statistically significant, χ2 = 114.03, P < 0.001. Most of the resident doctors cited lack of proper training as responsible for low rate of instrumental deliveries.
Conclusion: The rate of instrumental vaginal deliveries in the University of Uyo Teaching Hospital is low with adverse consequences on the training of resident doctors. There is thus need to prioritize training on this life‑saving skills.
Keywords: Instrumental vaginal deliveries; neonatal outcome; trends; Uyo