Failure to perform assisted deliveries is resulting in an increased neonatal and maternal morbidity and mortality : an expert opinion
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Date
Authors
Pattinson, Robert Clive
Vannevel, Valerie
Barnard, Dalene
Baloyi, S.
Gebhardt, G.S.
Le Roux, K.
Moran, N.
Moodley, J.
Journal Title
Journal ISSN
Volume Title
Publisher
Health and Medical Publishing Group
Abstract
The need to perform assisted vaginal delivery (AVD) has been regarded as self-evident. In high-income countries, rates of AVD range
between 5% and 20% of all births. In South Africa, the rate of AVD is only 1%. This has resulted in increased neonatal morbidity and
mortality due to intrapartum asphyxia, and increased maternal morbidity and mortality due to a rise in second-stage caesarean deliveries.
In this article, we address the possible causes leading to a decrease in AVD and propose measures to be taken to increase the rates of AVD
and subsequently reduce morbidity and mortality.
Description
Keywords
Assisted vaginal delivery (AVD), Asphyxia, Birth injury, Pelvic disproportion, Cerebral palsy (CP), Cesarean section, Fetus distress, Health care management, High income country, Hospitalization, Instrumental delivery, Maternal morbidity, Maternal mortality, Midwife, Neonatal intensive care unit (NICU), Obstetric hemorrhage, Obstetric procedure, Vacuum extraction, South Africa (SA)
Sustainable Development Goals
Citation
Pattinson, R.C., Vannevel, V., Barnard, D. et al. 2018, 'Failure to perform assisted deliveries is resulting in an increased neonatal and maternal morbidity and mortality : an expert opinion', South African Medical Journal, vol. 108, no. 2, pp. 75-78.