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. 2023 Oct 19:383:e073991.
doi: 10.1136/bmj-2022-073991.

Maternal and neonatal trauma during forceps and vacuum delivery must not be overlooked

Giulia M Muraca  1   2 , Laura E Ralph  3 , Penny Christensen  4 , Rohan D'Souza  1 , Roxana Geoffrion  5 , Sarka Lisonkova  5   6 , K S Joseph  5   6
Affiliations

Maternal and neonatal trauma during forceps and vacuum delivery must not be overlooked

Giulia M Muraca et al. BMJ. .

Abstract

Giulia Muraca and colleagues argue that Canada’s high rates of maternal and neonatal trauma following operative vaginal delivery warrant urgent recognition, transparency, and action

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Conflict of interest statement

Competing interests: We have read and understood the BMJ policy on declaration of interests and have no interests to declare.

Figures

Fig 1
Fig 1
Rate of obstetric anal sphincter injury from operative vaginal deliveries (forceps and vacuum assisted combined) in 24 Organisation for Economic Cooperation and Development (OECD) countries, 2019 *OECD=average among the 24 OECD countries
Fig 2
Fig 2
Rate of operative vaginal delivery by instrument among nulliparous women
Fig 3
Fig 3
Correlation between rates of episiotomy and obstetric anal sphincter injury among operative vaginal deliveries in OECD countries (Pearson’s correlation coefficient=0.76; P=0.01). Data on episiotomy rate among operative vaginal deliveries in Ireland were not available
See this image and copyright information in PMC

Comment in

  • The Future of Forceps Delivery in Canada.
    Walker MG, Harris K, Simpson AN, Flores-Mendoza H, Farrugia M, Hobson SR, Kingdom JC. Walker MG, et al. J Obstet Gynaecol Can. 2024 Mar;46(3):102325. doi: 10.1016/j.jogc.2023.102325. J Obstet Gynaecol Can. 2024. PMID: 38548448 No abstract available.

References

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