SUMMARY Instrumental deliveries are believed to be
associated with increased maternal and, especially, fetal
morbidity and mortality. Hence, it is less practiced in many
developing countries.The aim of this retrospective study,
conducted between1January 2007 and 31December 2008,
was to assess the prevalence, indications, neonatal wellbeing
and maternal complications of instrumental deliveries.
Of 3623 vaginal deliveries, 84 (2.3%) instrumental
deliveries were conducted.The most common indication
was a prolonged second stage of labour. Fetal wellbeing,
measured by the Apgar score, was good and was similar in
the group who had forceps deliveryand that of the vacuum
extraction delivery group. Maternal complications, usually
minor, were vaginal and perineal tears. Instrumental delivery
should be encouraged and taught in order to reverse
the rising caesarean section rate