Assessment of Magnitude and Associated Factors of Failed Vacuum in Lemlem Karl Hospital in 2016

Abstract

Vacuum extraction is used to facilitate childbirth in the second stage of labor to avoid cesarean delivery and its associated morbidities. In addition, trends in operative vaginal delivery have shown increasing numbers of vacuum extraction and decreasing numbers of forceps delivery worldwide, owing to concerns over neonatal and maternal safety. Although vacuum extraction is successful in the most cases, failure of vacuum extraction is not uncommon. In cases of failed, cesarean section is performed as soon as possible; however, cases of failed vacuum extraction followed by forceps delivery or cesarean section or both are reportedly associated with higher rates of adverse perinatal outcome than are cases of successful. The objective of the study was to assess magnitude of failed vacuum and associated factors at Lemlem Karl Hospital from 2008 to 2015. Hospital based cross sectional study with retrieving of information from cards retrospectively, was conducted among 308 women's cards where vacuum delivery was attempted from 2008 to 2015 GC. Simple random sampling technique was employed to review the women's cards. The data were entered in to EPI info version 7 and cleaned and analyzed using SPSS version 20. Multivariate logistic regression was used to estimate the effect size of the factors on vacuum failure. The magnitude of failed vacuum was found to be 10.1% which strongly associated with fetal position, fetal weight, parity and station. Women whose station was at plus2 and plus3, were 94.9% less likely to be associated with vacuum failure when compared to women whose station was at 0, +1 (AOR=.051, 95CI(.020, .176)) and fetuses with abnormal position were 3.59 times more likely odds associated with vacuum failure when compared to fetuses at normal position (AOR=3.59, 95 CI(1.314, 9.842)). This study indicated that the magnitude of failed vacuum is found to be in line with WHO's report. Factors which associated with vacuum failure were station, parity, fetal weight and fetal position.

Keywords: Failed vacuum, Lemlem Karl Hospital

Cite this Article

Abera Haftu, Tesfay Adhena, Merhawi Brhane et al. Assessment of Magnitude and Associated Factors of Failed Vacuum in Lemlem Karl Hospital in 2016. Research & Reviews: A Journal of Computational Biology. 2017; 6(1): 1–10p.