Delay in the second stage of labour – instrument to be used (failed/successful instrumental vaginal birth and CS)

Bibliographic reference Study type Evidence level Number of patients Patient characteristics Intervention Comparison Length of follow-up Outcome measures Effect size Source of funding Additional comments
Murphy DJ;Liebling RE;Verity L;Swingler R;Patel R; 2001 Oct 13562CohortEvidence level: 2+n=393
(Successful vaginal delivery(VD)=184; immediate CS(CS)=102; CS after instrumental vaginal delivery(VDCS )=107)
women who were fully dilated and needed vaginal instrumental delivery in theatre or CSIntervention: CS after instrumental deliveryComparison: successful vaginal delivery & immediate CSFollow-up period: until dischargedOutcome Measures: blood loss, hospitalisation, SCBU admission. Neonatal trauma,Blood loss >1L
VD=3%
CS=9%
VDCS=10%
p=ns

Hospital stay>=6days
VD=5%
CS=17%
VDCS=15%
p=ns

SCBU admission
VD=6%
CS=11%
VDCS=11%
p=ns

Neonatal trauma
VD=22%
CS=2%
VDCS=15%
p=0.03
Not stated

From: Evidence tables

Cover of Intrapartum Care
Intrapartum Care: Care of Healthy Women and Their Babies During Childbirth.
NICE Clinical Guidelines, No. 55.
National Collaborating Centre for Women's and Children's Health (UK).
London: RCOG Press; 2007 Sep.
Copyright © 2007, National Collaborating Centre for Women’s and Children’s Health.

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