Women’s recommendations: vacuum extraction or caesarean section for prolonged second stage of labour, a prospective cohort study in Uganda
objectives To investigate what women who have experienced vacuum extraction or second stage caesarean section (CS) would recommend as mode of birth in case of prolonged second stage of labour. methods A prospective cohort study was conducted in a tertiary referral hospital in Uganda. Between Nove...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Published: |
John Wiley & Sons Ltd.
2019
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| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.12493/165 |
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| Summary: | objectives To investigate what women who have experienced vacuum extraction or second stage
caesarean section (CS) would recommend as mode of birth in case of prolonged second stage of labour.
methods A prospective cohort study was conducted in a tertiary referral hospital in Uganda.
Between November 2014 and July 2015, women with a term singleton in vertex presentation who
had undergone vacuum extraction or second stage CS were included. The first day and 6 months
after birth women were asked what they would recommend to a friend: vacuum extraction or CS and
why. Outcome measures were: proportions of women choosing vacuum extraction vs. CS and reasons
for choosing this mode of birth.
results The first day after birth, 293/318 (92.1%) women who had undergone vacuum extraction
and 176/409 (43.0%) women who had undergone CS recommended vacuum extraction. Of women
who had given birth by CS in a previous pregnancy and had vacuum extraction this time, 31/32
(96.9%) recommended vacuum extraction. Six months after birth findings were comparable. Less
pain, shorter recovery period, avoiding surgery and the presumed relative safety of vacuum extraction
to the mother were the main reasons for preferring vacuum extraction. Main reasons to opt for CS
were having experienced CS without problems, CS presumed as being safer for the neonate, CS being
the only option the woman was aware of, as well as the concern that vacuum extraction would fail.
conclusions Most women would recommend vacuum extraction over CS in case of prolonged
second stage of labour. |
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