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.
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收藏
页码：75 / 78
页数：4
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