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Document Type

Original Article

Abstract

Background: Caesarean section is the maximum common and globally significant obstetric procedure, and this rate has been rising gradually. The birth of the foetal head can be accomplished through manual delivery or instrumental delivery, among other techniques. Aim of the work: To investigate the effects of three different methods of delivering the foetal head—manual delivery, forceps delivery with either a single or double blade, during an elective caesarean section—on patient perceptions of pain and pain scores, unintended extension of the uterine incision, uterine vessel injury, and neonatal outcomes. Patients and Methods: This study was a comparative study that was conducted at Sayed Galal University Hospital, El Hussein University Hospital and Embaba General Hospital on 600 women undergoing elective Cesarean section from July 2021 to June 2022. The study group divided into three equal groups (200 women/ group): Group I: delivered head by manual extraction Group II: one blade forceps was used for head extraction Group III: we used duple blades forceps for head extraction Results: No important variance between groups according to demographic data, and according to uterine wound extension, uterine vessels injury, fetal head injury and APGAR score at 1&5 minutes but Statistical significant variances exist. between groups according to expectation of pain and pain during fundal pressure Conclusion: Regarding patient anticipation of pain and pain score , unexpected delay of the uterine incision, harm to the uterine vasculature, and neonatal outcomes, forceps is superior to manual delivery of the baby head during elective caesarean section and has fewer complications.

Keywords

Cesarean section; Forceps Delivery; Fundal Pressure; Manual Extraction; Pain

Subject Area

Obstetrics and Gynecology

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