Article: IMPACT OF OPERATIVE VAGINAL DELIVERY ON UMBILICAL ARTERIAL pH

Objective: To assess differences in neonatal outcome based on arterial pH at birth by different operative delivery procedure (spatulas, forceps or vacuum extractor) and the influence of different indications on this outcome.

Methods: Retrospective study of clinical records of vaginal instrumental deliveries attended at Virgen de las Nieves University Hospital in Granada in a 2-year period (2003 y 2004). 6327 deliveries were analyzed and all selected study variables recorded (umbilical artery pH at birth, mode of vaginal and instrumental delivery and indication for obstetric procedure). 4942 women underwent spontaneous vaginal delivery, 472 forceps, 599 spatulas and 287 vacuum extractor.

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