Failure to perform assisted deliveries is resulting in an increased neonatal and maternal morbidity and mortality: An expert opinion
oleh: R Pattinson, V Vannevel, D Barnard, S Baloyi, G Gebhardt, K le Roux, N Moran, J Moodley
| Format: | Article |
|---|---|
| Diterbitkan: | South African Medical Association 2018-02-01 |
Deskripsi
The need to perform assisted vaginal delivery (AVD) has been regarded as self-evident. In high-income countries, rates of AVD range between 5% and 20% of all births. In South Africa, the rate of AVD is only 1%. This has resulted in increased neonatal morbidity and mortality due to intrapartum asphyxia, and increased maternal morbidity and mortality due to a rise in second-stage caesarean deliveries. In this article, we address the possible causes leading to a decrease in AVD and propose measures to be taken to increase the rates of AVD and subsequently reduce morbidity and mortality.