Failure to perform assisted deliveries is resulting in an increased neonatal and maternal morbidity and mortality : an expert opinion

Abstract
The need to perform assisted vaginal delivery (AVD) has been regarded as self-evident. In high-income countries, rates of AVD range between 5% and 20% of all births. In South Africa, the rate of AVD is only 1%. This has resulted in increased neonatal morbidity and mortality due to intrapartum asphyxia, and increased maternal morbidity and mortality due to a rise in second-stage caesarean deliveries. In this article, we address the possible causes leading to a decrease in AVD and propose measures to be taken to increase the rates of AVD and subsequently reduce morbidity and mortality.
Description
CITATION: Pattinson, R. C. et al. 2018. Failure to perform assisted deliveries is resulting in an increased neonatal and maternal morbidity and mortality : an expert opinion. South African Medical Journal, 108(2):75-78, doi:10.7196/SAMJ.2018.v108i2.12786.
The original publication is available at http://www.samj.org.za
Keywords
Obstetrics -- Surgery, Obstetrics, Newborn infants -- Mortality, Newborn infants -- Death
Citation
Pattinson, R. C. et al. 2018. Failure to perform assisted deliveries is resulting in an increased neonatal and maternal morbidity and mortality : an expert opinion. South African Medical Journal, 108(2):75-78, doi:10.7196/SAMJ.2018.v108i2.12786.