Abstract:
Background: Instrumental vaginal deliveries are defined as vaginal delivery accomplished with
the aid of Instruments which can be vacuum or forceps. It is carried out in the maternal interest,
fetal interest or both. Complications during Instrumental vaginal deliveries represent a substantial
burden to the health system and the prevention of such complications should be a health care
priority in developing countries through training and supply of appropriate equipment.
However no study was done so far to assess complications of Instrumental vaginal deliveries and
associated factors in Gelemso hospital; despite the fact that it is the most commonly performed
obstetric procedure.
Objective: To assess perinatal and maternal complications of Instrumental vaginal deliveries
and associated factors in Gelemso hospital, Eastern Ethiopia from July 15-20 2018 GC
Method: Hospital based retrospective cross sectional study design was conducted using a
structured data collecting format, patients‟ medical records documented on the respective
logbooks. The total sample size was 245 in two year‟s period. Simple random sampling
technique was used to select patient card. The data was collected from July 15-20 2018. The
Data to be collected was entered, cleaned and analyzed using SPSS version 20; to asses
complication of instrumental vaginal delivery. Bivariate and multivariate analysis was
conducted to identify the factor associated with complication of instrumental vaginal delivery.
Finally statistical significance was declared at p<0.05.
Result In the study period 28.5% of instrumental vaginal delivery was complicated, of this
maternal complication takes the lead, accounts for 55 (22.4%). Episiotomy extension was the
leading maternal complication, 28 (11.4%) and Instrumental marks and bruising as commonest
fetal complication (4.9% of all fetal complications)
Conclusions type of instrumental vaginal delivery, number of pregnancy, mod of delivery
were significantly associated with feto maternal complications
Recommendation Discussion to minimize those practices associated with complication and
clear facility based indications and pre request should available
