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: Barbara, Nolens, Thomas, van den Akker, John, Lule, Sulphine, Twinomuhangi, Roosmalen, Jos van, Josaphat, Byamugisha
Format: Article
Published: John Wiley & Sons Ltd. 2019
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Online Access:http://hdl.handle.net/20.500.12493/165
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author Barbara, Nolens
Thomas, van den Akker
John, Lule
Sulphine, Twinomuhangi
Roosmalen, Jos van
Josaphat, Byamugisha
author_facet Barbara, Nolens
Thomas, van den Akker
John, Lule
Sulphine, Twinomuhangi
Roosmalen, Jos van
Josaphat, Byamugisha
author_sort Barbara, Nolens
collection KAB-DR
description 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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spelling oai:idr.kab.ac.ug:20.500.12493-1652024-01-17T04:48:36Z Women’s recommendations: vacuum extraction or caesarean section for prolonged second stage of labour, a prospective cohort study in Uganda Barbara, Nolens Thomas, van den Akker John, Lule Sulphine, Twinomuhangi Roosmalen, Jos van Josaphat, Byamugisha delivery, vacuum extraction, caesarean section, women’s preferences, low- and middleincome countries 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. Kabale University 2019-06-14T07:59:16Z 2019-06-14T07:59:16Z 2019 Article http://hdl.handle.net/20.500.12493/165 application/pdf John Wiley & Sons Ltd.
spellingShingle delivery, vacuum extraction, caesarean section, women’s preferences, low- and middleincome countries
Barbara, Nolens
Thomas, van den Akker
John, Lule
Sulphine, Twinomuhangi
Roosmalen, Jos van
Josaphat, Byamugisha
Women’s recommendations: vacuum extraction or caesarean section for prolonged second stage of labour, a prospective cohort study in Uganda
title Women’s recommendations: vacuum extraction or caesarean section for prolonged second stage of labour, a prospective cohort study in Uganda
title_full Women’s recommendations: vacuum extraction or caesarean section for prolonged second stage of labour, a prospective cohort study in Uganda
title_fullStr Women’s recommendations: vacuum extraction or caesarean section for prolonged second stage of labour, a prospective cohort study in Uganda
title_full_unstemmed Women’s recommendations: vacuum extraction or caesarean section for prolonged second stage of labour, a prospective cohort study in Uganda
title_short Women’s recommendations: vacuum extraction or caesarean section for prolonged second stage of labour, a prospective cohort study in Uganda
title_sort women s recommendations vacuum extraction or caesarean section for prolonged second stage of labour a prospective cohort study in uganda
topic delivery, vacuum extraction, caesarean section, women’s preferences, low- and middleincome countries
url http://hdl.handle.net/20.500.12493/165
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