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No 381 - Accouchement vaginal assisté
Sebastian Hobson1, Krista Cassell2, Rory Windrim1
1Toronto (Ont.).
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|May 26, 2019
Summary
This guideline provides evidence-based recommendations for safe and effective assisted vaginal birth. It details prerequisites, indications, contraindications, and associated maternal and neonatal morbidities for instrumental vaginal delivery.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
Background:
- Assisted vaginal birth, including forceps and vacuum delivery, is a critical obstetric procedure.
- Ensuring the safety and efficacy of operative vaginal delivery requires clear evidence-based guidelines.
Purpose of the Study:
- To provide evidence-based guidelines for safe and effective assisted vaginal birth.
- To outline prerequisites, indications, and contraindications for operative vaginal delivery.
Main Methods:
- A comprehensive literature search was conducted in the Medline database.
- Articles published between January 1, 1985, and February 28, 2018, were reviewed.
- Keywords included assisted vaginal birth, instrumental vaginal birth, operative vaginal delivery, forceps delivery, vacuum delivery, and ventouse delivery.
Main Results:
- The guideline addresses prerequisites, indications, and contraindications for assisted vaginal birth.
- It details maternal and neonatal morbidities associated with operative vaginal delivery.
- Evidence quality was assessed using criteria from the Canadian Task Force on Preventive Health Care.
Conclusions:
- The guideline aims to promote safe and effective assisted vaginal birth practices.
- Recommendations are based on a thorough review of existing evidence.
- The guideline was approved by the Society of Obstetricians and Gynaecologists of Canada's clinical practice committee.
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