ArticleBMC pregnancy and childbirth2023
Maternal complications and risk factors associated with assisted vaginal delivery.
Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 18 citations in OpenAlex.
- BirthARssistant: a childbirth delivery training simulator integrating microsoft HoloLens2, 3D-printing and electromagnetic tracking.International journal of computer assisted radiology and surgery · 2026Article
- Clinical predictors of postpartum vaginal and vulvar hematomas and the need for surgical treatment.Pregnancy (Hoboken, N.J.) · 2026Article
- Maternal risk factors for postpartum readmission following vacuum-assisted vaginal delivery: A retrospective cohort study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Ensemble learning for predicting birth trauma using high-dimensional data in the neonatal intensive care unit.Scientific reports · 2026Article
- Risk Factors for Severe Postpartum Hemorrhage in Vaginal Delivery: A Retrospective Cohort Study.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2026Article
- Bridging data gaps in pregnancy outcomes: a four-year review of gestational Age records and delivery trends in Kilimanjaro region, Tanzania.Frontiers in reproductive health · 2026Article
- Understanding the underuse: Barriers to vacuum-assisted birth among clinicians in Tanzania: An exploratory qualitative study.PloS one · 2026Article
- Development and validation of a predictive model for forceps delivery risk in term singleton primiparas for early identification and labor management optimization.Frontiers in medicine · 2026Article
- Development and Validation of a Predictive Nomogram for Postpartum Hemorrhage in Pregnant Women: A Retrospective Study.International journal of general medicine · 2025Article
- Birth injuries in late preterm and term neonates after instrumental delivery: a prospective study on short-term and developmental outcomes.Frontiers in pediatrics · 2025Article
- Exploring implementation of intrapartum trial evidence: a qualitative study with clinicians and clinical academics.Implementation science communications · 2024Article
- Obstetric claims in Finland 2012-2022-A nationwide patient insurance registry study.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Intrapartum Quality of Care among Healthy Women: A Population-Based Cohort Study in an Italian Region.International journal of environmental research and public health · 2024Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThis study aimed to elucidate the maternal complications and risk factors linked with assisted vaginal delivery.
methodsWe conducted a retrospective, descriptive analysis of hospital records, identifying 3500 cases of vaginal delivery between 2020 and 2022. Data encompassing demographics, complications from the vaginal delivery including post-partum haemorrhage, birth passage injuries, puerperal infection and other pertinent details were documented. Various critical factors, including the duration of the second stage of labor, maternal anemia, underlying maternal health conditions such as diabetes mellitus and hypertension, neonatal birth weight, maternal weight, the expertise of the attending surgeon, and the timing of deliveries were considered.
resultsThe rates for assisted vacuum and forceps delivery were 6.0% (211/3500 cases) and 0.3% (12/3500), respectively. Postpartum haemorrhage emerged as the predominant complication in vaginal deliveries, with a rate of 7.3% (256/3500; P < 0.001). Notably, postpartum haemorrhage had significant associations with gestational diabetes mellitus class A1 (adjusted odds ratio [AOR] 1.46; 95% confidence interval [CI] 1.01-2.11; P = 0.045), assisted vaginal delivery (AOR 5.11; 95% CI 1.30-20.1; P = 0.020), prolonged second stage of labour (AOR 2.68; 95% CI 1.09-6.58; P = 0.032), elevated maternal weight (71.4 ± 12.2 kg; AOR 1.02; 95% CI 1.01-1.03; P = 0.003) and neonates being large for their gestational age (AOR 3.02; 95% CI 1.23-7.43; P = 0.016).
conclusionsThe primary complication arising from assisted vaginal delivery was postpartum haemorrhage. Associated factors were a prolonged second stage of labour, foetal distress, large-for-gestational-age neonates and elevated maternal weight. Cervical and labial injuries correlated with neonates being large for their gestational age. Notably, puerperal infections were related to maternal anaemia (haematocrit levels < 33%). CLINICAL
trial registrationThai Clinical Trials Registry: 20220126004.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.