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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 Novem...

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Autores principales: Nolens, Barbara, van den Akker, Thomas, Lule, John, Twinomuhangi, Sulphine, van Roosmalen, Jos, Byamugisha, Josaphat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6850599/
https://www.ncbi.nlm.nih.gov/pubmed/30803113
http://dx.doi.org/10.1111/tmi.13222
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author Nolens, Barbara
van den Akker, Thomas
Lule, John
Twinomuhangi, Sulphine
van Roosmalen, Jos
Byamugisha, Josaphat
author_facet Nolens, Barbara
van den Akker, Thomas
Lule, John
Twinomuhangi, Sulphine
van Roosmalen, Jos
Byamugisha, Josaphat
author_sort Nolens, Barbara
collection PubMed
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 pubmed-68505992019-11-18 Women's recommendations: vacuum extraction or caesarean section for prolonged second stage of labour, a prospective cohort study in Uganda Nolens, Barbara van den Akker, Thomas Lule, John Twinomuhangi, Sulphine van Roosmalen, Jos Byamugisha, Josaphat Trop Med Int Health Editors’ Choice 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. John Wiley and Sons Inc. 2019-03-27 2019-05 /pmc/articles/PMC6850599/ /pubmed/30803113 http://dx.doi.org/10.1111/tmi.13222 Text en © 2019 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Editors’ Choice
Nolens, Barbara
van den Akker, Thomas
Lule, John
Twinomuhangi, Sulphine
van Roosmalen, Jos
Byamugisha, Josaphat
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 Editors’ Choice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6850599/
https://www.ncbi.nlm.nih.gov/pubmed/30803113
http://dx.doi.org/10.1111/tmi.13222
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