Changes and analysis of transvaginal forceps delivery rate in primary hospitals in the past 10 years.

Objectives: This study analyzed the changes of vaginal forceps delivery rate in Jiading Maternal and Child Health Hospital in the past 10 years in order to provide theoretical reference for reducing the rate of cesarean section and solving cephalic dystocia.

Material And Methods: The basic information, delivery means and vaginal forceps indication of 78,811 parturients who gave birth in our hospital between January 1, 2009 to December 31, 2018 were analyzed retrospectively, and statistical analysis was carried out by analysis of variance and Chi-square test.

Results: In the past 10 years, there was a significant difference in the rate of vaginal forceps use among different years (p < 0. 05). With 2014 as the turning point, the rate of forceps use increased the fastest, from 0.7% in 2013 to 3.3% in 2016. The main indications of forceps increased use in our hospital from high to low were fetal distress, abnormal occipital position, prolongation of the second stage of labor and shortening of the second stage of labor. And there was significant difference among different years (p < 0.000). Although there was no significant difference among the years of labor forceps use in patients with prolonged second stage of labor and abnormal occipital position (p > 0.05), the proportion of forceps delivery in the second stage of labor was gradually decreased with 2014 as the dividing line. Although there was significant difference among the patients who shortened the second stage of labor (X2 = 23,886, p < 0.01), it ranked fourth all the time.

Conclusions: In the past 10 years, the rate of forceps use has been on the rise. With the implementation of the new stage of labor and painless delivery in 2014, vaginal forceps have become the main means to solve the problem of cephalic dystocia.