VACCUM IS THE PREFERRED INSTRUMENT AMONG OBSTERICIANS IN RECENT TIMES

Abstract

Obstetricians must be able to perform operative vaginal birth (OVB). It is the most common obstetric emergency intervention, and it necessitates a high level of expertise. To nd out which tool obstetricians prefer when doing surgical vaginal births, as well as the prevalence and hazards of vacuum or forceps assisted vaginal deliveries (AVD). The ACS Medical and Hospital in Chennai conducted this cross-sectional investigation. The survey comprised 500 obstetricians in all. All obstetricians in Chennai were issued an online survey. The best approach for a given situation, tool preference [vacuum or forceps], and perspectives on the difculties associated with both vacuum and forceps use during vaginal delivery were all investigated. We calculated averages and percentages for the overall group and different subgroups based on the responses. The statistical analysis comprised a risk assessment of the result with exposure as an appropriate p-value. The questionnaire had a response rate of 92 percent (460/500). According to the data, obstetricians preferred vacuum because it was easier to use. The two groups had identical baseline characteristics. The most prevalent complication was a failed vacuum owing to cup slippage (65%), followed by caput succedaneum (22%), both of which were statistically signicant. The most important nding was that maternal injuries in the vacuum group were only 3%, which was signicantly lower than maternal injuries in the forceps group (70%) with a p-value of 0.001. The majority of obstetricians seemed to prefer using a vacuum during delivery. The use of a vacuum extractor instead of forceps for assisted delivery appeared to lower maternal morbidity, whereas neonatal injuries were more prevalent in vacuum-delivered babies. The equipment chosen should be tailored to the patient's needs as well as the obstetrician's knowledge and skill.