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Instrumental Extraction by Obstetric Suction Cup at Nabil Choucair Health Center (Dakar, Senegal) from 2005 to 2016: Indications and Prognosis

Received: 11 February 2020    Accepted: 2 March 2020    Published: 17 March 2020
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Abstract

The objective of this study was to take stock of instrumental extractions using an obstetric suction cup at the Nabil Choucair Health Center in Dakar. It was a retrospective, descriptive study on instrumental extractions by vacuum cup from January 1, 2010 to December 31, 2017 (144 months) at the maternity unit of the Nabil Choucair Health Center. This study included all patients who had experienced vacuum assisted delivery. The parameters studied concerned socio-demographic, clinical characteristics, indications and maternal-foetal complications. The collection was carried out using the fact sheet completed on the basis of the analysis of the files, the delivery register, and the anaesthesia register of the operating room. Data entry was carried out using Sphinx version 5 software and data analysis by Epi info version 3.5 software and descriptive analysis was carried out by studying the frequency, the mean and the standard deviation. During the study period 66,000 women gave birth and we collected 360 instrumental extractions. The frequency of the vacuum cup was 0.5% for instrumental extractions. The average age of the patients was 24.5 years, parity was 1.6. The average gestational age was 39.4 Weeks of Amenorrhea (SA), the average uterine height was 33 cm, the noises of the foetal heart were normal in 98% of parturients. The indications were dominated by a stop in the progression of foetal mobile (39%). The mean average birth weight was 2994 g and 97% of new-borns had an Apgar score of 9. Maternal complications were dominated by simple perineal tears (7%) and 3 cervical tears (1.2%). The neonatal prognosis was dominated by 13 caput succedaneum (chignon) (7%). The obstetrics suction cup is still decisive for the foetal outcome in our maternities. The mastery of the technique and the right indications help to avoid complications.

Published in Journal of Gynecology and Obstetrics (Volume 8, Issue 2)
DOI 10.11648/j.jgo.20200802.11
Page(s) 35-38
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Obstetric Suction Cup, Dakar, Nabil Choucair, Senegal

References
[1] MSAS- UNFPA- OMS- UNICEF- CEFOREP. Evaluation des besoins en Soins Obstétricaux et Néonatals d’Urgence au Sénégal de 2012-2013 Rapport, Dakar, Décembre 2014, 179p.
[2] Cisse C. T, Ewaginon E, Fotso A, Maitournam F, Moreau J. C, Diadhiou F. Indications et pronostic de l’accouchement par forceps au CHU de Dakar. Dakar Med, 1998; 43 (2): 220-224.
[3] Diouf A. B. Épidémiologie et pronostic des extractions instrumentales à la maternité de l’Institut d’Hygiène Sociale de Dakar. Mémoire Med, 2010, Numéro 258.
[4] Ndao D. Accouchement par forceps au Sénégal: résultats trois enquêtes sur la couverture obstétrico-chirurgicale du pays. Thèse Med, N°03, Dakar, 2007: 112p.
[5] Sow D. B. Pronostic de l’accouchement par ventouse obstétricale au Centre Hospitalier National de Pikine. Thèse Med, 2013, Numéro 99.
[6] Gerbers V. Y, Hohlfeld P. Pronostic maternel et néonatal lors d’une deuxième phase d’accouchements prolongée. J Gynecol Obstet Biol Reprod 1999; 28 (2): 145-50.
[7] College National Des Gynécologues Obstétriciens Francais. Texte de recommandations. Extractions instrumentals La Revue Sage-Femme, 2009; 8: 104-107.
[8] Bergsjo P. Differences in the reported frequencies of some obstetrical interventions in Europe. Br. J Obstet Gynaecol 1983; 90: 628-32.
[9] Riethmuller D, Ramanah R, Maillet R, Patrick J. P Ventouses: description, mécanique, indications, contre-indications Journal de Gynécologie-Obstétrique et Biologie de la Reproduction (2008): 37 S210- S221.
[10] Vinzileolos and al Effect of vacuum extractor on ombilical cord blood acid base measurments J Mater Fet Med 1996; 5: 11-7.
[11] Leeuw. Mediolateral episiotomy reduces the risk for anal sphincter injury during operative vaginal delivery. BJOG 2008; 115: 104-108.
[12] 12 Menard J, Provansal M, Heckendroth H, Gamere M, Bretelle F and al Morbidité maternelle immédiate après extraction instrumentale par spatules de Thierry et par ventouse obstétricale. Gynecol Obstet Fertil 2008. 2008; 36: 623-7.
[13] Boni Serge, Abauleth R, Gondo D, Koffi A, Effoh D, Kone N. Indications des extractions instrumentales et pronostic foeto-maternel au CHU de Cocody. J de la SAGO, 2005; 6 (1): 1-5.
[14] Claris O. Les risques du forceps: le point de vue du pédiatre et de l’obstétricien. Rev. Fr. Gynecol. Obstet, 1990; 85 (10): 549-551.
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  • APA Style

    Omar Gassama, Mohamed Diadhiou, Djibril Diallo, Daouda Ndour, Babacar Biaye, et al. (2020). Instrumental Extraction by Obstetric Suction Cup at Nabil Choucair Health Center (Dakar, Senegal) from 2005 to 2016: Indications and Prognosis. Journal of Gynecology and Obstetrics, 8(2), 35-38. https://doi.org/10.11648/j.jgo.20200802.11

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    ACS Style

    Omar Gassama; Mohamed Diadhiou; Djibril Diallo; Daouda Ndour; Babacar Biaye, et al. Instrumental Extraction by Obstetric Suction Cup at Nabil Choucair Health Center (Dakar, Senegal) from 2005 to 2016: Indications and Prognosis. J. Gynecol. Obstet. 2020, 8(2), 35-38. doi: 10.11648/j.jgo.20200802.11

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    AMA Style

    Omar Gassama, Mohamed Diadhiou, Djibril Diallo, Daouda Ndour, Babacar Biaye, et al. Instrumental Extraction by Obstetric Suction Cup at Nabil Choucair Health Center (Dakar, Senegal) from 2005 to 2016: Indications and Prognosis. J Gynecol Obstet. 2020;8(2):35-38. doi: 10.11648/j.jgo.20200802.11

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  • @article{10.11648/j.jgo.20200802.11,
      author = {Omar Gassama and Mohamed Diadhiou and Djibril Diallo and Daouda Ndour and Babacar Biaye and Margarita Christina Eyang El Abesso and Taliana Stephie Gondjout and Abdoul Aziz Diouf and Youssoupha Touré and Philippe Marc Moreira and Marieme Gueye Ba and Alassane Diouf and Jean Charles Moreau},
      title = {Instrumental Extraction by Obstetric Suction Cup at Nabil Choucair Health Center (Dakar, Senegal) from 2005 to 2016: Indications and Prognosis},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {8},
      number = {2},
      pages = {35-38},
      doi = {10.11648/j.jgo.20200802.11},
      url = {https://doi.org/10.11648/j.jgo.20200802.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20200802.11},
      abstract = {The objective of this study was to take stock of instrumental extractions using an obstetric suction cup at the Nabil Choucair Health Center in Dakar. It was a retrospective, descriptive study on instrumental extractions by vacuum cup from January 1, 2010 to December 31, 2017 (144 months) at the maternity unit of the Nabil Choucair Health Center. This study included all patients who had experienced vacuum assisted delivery. The parameters studied concerned socio-demographic, clinical characteristics, indications and maternal-foetal complications. The collection was carried out using the fact sheet completed on the basis of the analysis of the files, the delivery register, and the anaesthesia register of the operating room. Data entry was carried out using Sphinx version 5 software and data analysis by Epi info version 3.5 software and descriptive analysis was carried out by studying the frequency, the mean and the standard deviation. During the study period 66,000 women gave birth and we collected 360 instrumental extractions. The frequency of the vacuum cup was 0.5% for instrumental extractions. The average age of the patients was 24.5 years, parity was 1.6. The average gestational age was 39.4 Weeks of Amenorrhea (SA), the average uterine height was 33 cm, the noises of the foetal heart were normal in 98% of parturients. The indications were dominated by a stop in the progression of foetal mobile (39%). The mean average birth weight was 2994 g and 97% of new-borns had an Apgar score of 9. Maternal complications were dominated by simple perineal tears (7%) and 3 cervical tears (1.2%). The neonatal prognosis was dominated by 13 caput succedaneum (chignon) (7%). The obstetrics suction cup is still decisive for the foetal outcome in our maternities. The mastery of the technique and the right indications help to avoid complications.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Instrumental Extraction by Obstetric Suction Cup at Nabil Choucair Health Center (Dakar, Senegal) from 2005 to 2016: Indications and Prognosis
    AU  - Omar Gassama
    AU  - Mohamed Diadhiou
    AU  - Djibril Diallo
    AU  - Daouda Ndour
    AU  - Babacar Biaye
    AU  - Margarita Christina Eyang El Abesso
    AU  - Taliana Stephie Gondjout
    AU  - Abdoul Aziz Diouf
    AU  - Youssoupha Touré
    AU  - Philippe Marc Moreira
    AU  - Marieme Gueye Ba
    AU  - Alassane Diouf
    AU  - Jean Charles Moreau
    Y1  - 2020/03/17
    PY  - 2020
    N1  - https://doi.org/10.11648/j.jgo.20200802.11
    DO  - 10.11648/j.jgo.20200802.11
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 35
    EP  - 38
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20200802.11
    AB  - The objective of this study was to take stock of instrumental extractions using an obstetric suction cup at the Nabil Choucair Health Center in Dakar. It was a retrospective, descriptive study on instrumental extractions by vacuum cup from January 1, 2010 to December 31, 2017 (144 months) at the maternity unit of the Nabil Choucair Health Center. This study included all patients who had experienced vacuum assisted delivery. The parameters studied concerned socio-demographic, clinical characteristics, indications and maternal-foetal complications. The collection was carried out using the fact sheet completed on the basis of the analysis of the files, the delivery register, and the anaesthesia register of the operating room. Data entry was carried out using Sphinx version 5 software and data analysis by Epi info version 3.5 software and descriptive analysis was carried out by studying the frequency, the mean and the standard deviation. During the study period 66,000 women gave birth and we collected 360 instrumental extractions. The frequency of the vacuum cup was 0.5% for instrumental extractions. The average age of the patients was 24.5 years, parity was 1.6. The average gestational age was 39.4 Weeks of Amenorrhea (SA), the average uterine height was 33 cm, the noises of the foetal heart were normal in 98% of parturients. The indications were dominated by a stop in the progression of foetal mobile (39%). The mean average birth weight was 2994 g and 97% of new-borns had an Apgar score of 9. Maternal complications were dominated by simple perineal tears (7%) and 3 cervical tears (1.2%). The neonatal prognosis was dominated by 13 caput succedaneum (chignon) (7%). The obstetrics suction cup is still decisive for the foetal outcome in our maternities. The mastery of the technique and the right indications help to avoid complications.
    VL  - 8
    IS  - 2
    ER  - 

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Author Information
  • Gynecologic and Obstetrics Clinic, Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal

  • Gynecologic and Obstetrics Clinic, Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal

  • Gynecologic and Obstetrics Clinic, Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal

  • Gynecologic and Obstetrics Clinic, Dalal Jamm Hospital, Guediawaye, Dakar, Senegal

  • Gynecologic and Obstetrics Clinic, Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal

  • Gynecologic and Obstetrics Clinic, Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal

  • Gynecologic and Obstetrics Clinic, Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal

  • Gynecologic and Obstetrics Clinic, Pikine National Hospital, Dakar, Senegal

  • Gynecologic and Obstetrics Clinic, Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal

  • Gynecologic and Obstetrics Clinic, Dalal Jamm Hospital, Guediawaye, Dakar, Senegal

  • Gynecologic and Obstetrics Clinic, Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal

  • Gynecologic and Obstetrics Clinic, Pikine National Hospital, Dakar, Senegal

  • Gynecologic and Obstetrics Clinic, Le Dantec Teaching Hospital, Cheikh Anta Diop University, Dakar, Senegal

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