An Obstetrician and Gynaecologist, Dr Olawale Oba, has said that low acceptance of instrumental delivery techniques often leads to the increase of caesarean delivery.
Oba, a Senior Registrar at the Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital (LUTH), made the explanation in an interview with the News Agency of Nigeria (NAN) in Lagos.
He said that caesarean section, also known as caesarean delivery, involves the use of surgery to deliver babies, which was often necessary when vaginal delivery could put the baby or mother at risk.
“Even though, there is cap by the World Health Organisation (WHO) on caesarean section rate which should be around 20 to 25 per cent but this incidence has been on the increase.
“It is important to note that instead of doing a caesarean section, in some cases, instruments can also be used to bring out babies from the vagina.
“But due to low acceptability of these instruments and increased rate of litigation, where people are gradually moving away from use of instrumental delivery, caesarean delivery has been a major option, “ he said.
According to him, Instrumental delivery includes the use of obstetrical forceps and vacuum extraction to bring the baby out of the vagina.
“These are safe procedures that can be used to assist a woman who is exhausted in labour, or in a situation where the child is tired out of a prolonged labour.’’
He said that the procedure could also be used “in the case of rotational forceps, where it is used to realign the head of the baby in relation to the maternal pelvis for labour to continue so that delivery can be achieved.
“But recently, pregnant women at the sight of forceps refuse and disagree for it to be used on them but rather go straight for a caesarean section, “he said.
The doctor said that counselling should be an important aspect of ante-natal care in order to inform and prepare mothers for delivery.
“However, skill acquisition and training are very important before the usage of these instruments and they should be handled with care and precision.” - The Nation
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