Failure to perform assisted deliveries is resulting in an increased neonatal and maternal morbidity and mortality: An expert opinion

被引：0

作者：

Pattinson, R. C. ^{[1
]}

Vannevel, V. ^{[1
]}

Barnard, D. ^{[1
]}

Baloyi, S. ^{[2
]}

Gebhardt, G. S. ^{[3
,4
]}

le Roux, K. ^{[5
,6
,7
]}

Moran, N. ^{[8
,9
]}

Moodley, J. ^{[10
]}

机构：

[1] Univ Pretoria, Dept Obstet & Gynaecol, Sch Med,Maternal & Infant Hlth Strategies Unit, South African Med Res Council,Fac Hlth Sci, Pretoria, South Africa

[2] Univ Free State, Dept Obstet & Gynaecol, Fac Hlth Sci, Bloemfontein, South Africa

[3] Stellenbosch Univ, Fac Med & Hlth Sci, Dept Obstet & Gynaecol, Cape Town, South Africa

[4] Tygerberg Hosp, Cape Town, South Africa

[5] Walter Sisulu Univ, Fac Hlth Sci, Dept Family Med, Mthatha, Eastern Cape, South Africa

[6] Univ Cape Town, Primary Hlth Care Directorate, Rondebosch, South Africa

[7] Zithulele Hosp, Eastern Cape, South Africa

[8] KwaZulu Natal Dept Hlth, Clin Dept Obstet & Gynaecol, Durban, South Africa

[9] Univ KwaZulu Natal, Coll Hlth Sci, Nelson R Mandela Sch Med, Dept Obstet & Gynaecol, Durban, South Africa

[10] Natl Comm Confidential Enquiries Maternal Deaths, Pretoria, South Africa

来源：

SAMJ SOUTH AFRICAN MEDICAL JOURNAL | 2018年 / 108卷 / 02期

关键词：

NULLIPAROUS WOMEN; OMNICUP; MODE;

D O I：

10.7196/SAMJ.2018.v108i2.12786

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：75 / 78

页数：4

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