Currently the scope of practice of a professional nurse with midwifery (the vast majority of nursing staff running maternity units) does not allow them to perform assisted delivery
and manual vacuum aspiration.
There is an absolute lack of advanced midwives and medical officers with the appropriate skills to perform an assisted delivery
or caesarean section safely.
We suggest that OBPP should be kept in mind in cases with difficult and assisted delivery
, and should be treated with conservative methods as soon as possible.
Manually assisted delivery
does not include vacuum extraction or forceps delivery, notes Dr.
The risk of muscle tearing was slightly lower among those whose birth had been assisted with a ventouse - a suction cup, which fits on the baby's head - than those who did not have an assisted delivery
We prefer reducing the length of the second stage by an assisted delivery
to limit the strain on the heart.
Mothers who gave birth during regular hours were 43% more likely to have an instrumentally assisted delivery
, 10% more likely to have an episiotomy, 86% more likely to have drug-augmented labor, and 30% more likely to experience severe tearing, the report indicates.
Recent figures for births without any form of intervention - including induction, Caesarean section, assisted delivery
or any form of anaesthetic - show just 44 per cent achieve a natural delivery.
The determination about whether to provide assisted delivery
by forceps or vacuum is usually left to physicians, but women could become more active participants in the decision-making process if they were informed beforehand about the varying risks of later incontinence before these procedures were performed.
The assisted delivery
rate, including delivery by traditional midwives, has increased by 3 percent since 2008, from 61 percent to 64 percent.
Major risk factors identified were; home and assisted delivery
5 (75%), consanguinity 10 (50%), infections 8 (40%) and lack of antenatal care 6 (30%).