About 1 in 4 times forceps are used during childbirth in Canada, a mom is injured: study
A new study from the University of Alberta recommends limiting the use of forceps during childbirth.
U of A experts on incontinence say educating both clinicians and mothers will help to prevent lifelong injuries to women.
According to the study, Canada has an alarmingly high rate of forcep use during childbirth.
“Often women who have had this type of delivery are completely shell-shocked because they’ve got infection, they’ve got pain, they’ve got a newborn and they had no idea that this was even a possibility,” Jane Schulz, professor and chair of obstetrics and gynecology in the faculty of medicine and dentistry, explained.
“Education is needed for both patients and health providers that this is a potential complication.”
Use of forceps can lead to some immediate and long-term complications that can include infection, chronic pain, sexual dysfunction, incontinence and pelvic organ prolapse.
“These birth injuries sometimes result in conditions which are extremely troublesome in later life,” Adrian Wagg, the division director of geriatric medicine and scientific director for the AHS Seniors Health Strategic Clinical Network, added.
'WE'RE NOT DOING WELL COMPARED TO OTHER COUNTRIES'
Forceps, described as similar to “large sugar tongs,” are placed on a baby’s head to pull it out.
“The blades go around the baby’s head and can potentially tear muscles and ligaments of the pelvic floor or cause damage to the nerves that supply the pelvic floor,” Schulz said.
The study shows that researchers looked at close to two million birth records from Canada, Norway, Sweden and Austria with a focus on first-time births.
It revealed five per cent of the women had third or fourth-degree tears to their perineum. Both Canada and Sweden had the highest recorded rates of injury, whereas Austria and Norway had the lowest.
A study conducted in 2016 showed roughly 24.3 per cent of Canadian mothers with forceps deliveries were injured, in comparison to Norway where it was only 6.4 per cent.
Those injuries were associated with the use of instruments such as a vacuum or forceps during delivery, the study read.
“We’re not doing well compared to other countries that were chosen based on similar social demographics and health-care services,” Schulz said.
She added that some women are more prone to injury depending on the size of their baby or if they have a shorter perineum.
That's why both Schulz and Wagg want to improve education for clinicians to better inform new mothers of their birth options.
“I advocate for women to be fully informed about their options in childbirth and counsel women to avoid forceps if at all possible,” Wagg said. “Caesarean section is the fallback option.”
Schulz encourages patients to be assessed six weeks before childbirth to ensure they get the care they need to avoid any long-term damage.
CTVNews.ca Top Stories
What is whooping cough and should Canadians be concerned as Europe declares outbreak?
There is currently a whooping cough epidemic in Europe, with 10 times as many cases compared to the previous two years. While an outbreak has not been declared nationwide in Canada, whooping cough is regularly detected in the country.
Ontario Provincial Police arrest 64 suspects in child sexual exploitation investigation
Ontario Provincial Police say 64 suspects are facing a combined 348 charges in connection with a series of child sexual exploitation investigations that spanned the province.
AstraZeneca says it will withdraw COVID-19 vaccine globally as demand dips
AstraZeneca said on Tuesday it had initiated the worldwide withdrawal of its COVID-19 vaccine due to a 'surplus of available updated vaccines' since the pandemic.
'Summer of discontent': Federal unions vow to fight new 3-day a week office mandate
Federal unions are launching legal challenges and encouraging public sector workers to file "tens of thousands" of grievances over the new mandate requiring federal workers to return to the office at least three days a week in the fall.
Watch fighter jet pilots pummel fake enemy ship off coast of Philippines
The United States and Philippines held annual joint-training drills just off the Southeast Asian nation’s western coast on Wednesday. Military forces sunk a 'mock' enemy warship – the BRP Lake Caliraya, which was a decommissioned tanker made in China.
'Ozempic babies': Reports of surprise pregnancies raise new questions about weight loss drugs
Numerous women have shared stories of 'Ozempic babies' on social media. But the joy some experience in discovering pregnancies may come with anxiety about the unknowns.
OPINION What King Charles' schedule being too 'full' to accommodate son suggests
Prince Harry, the Duke of Sussex, has made headlines with his recent arrival in the U.K., this time to celebrate all things Invictus. But upon the prince landing in the U.K., we have already had confirmation that King Charles III won't have time to see his youngest son during his brief visit.
'I killed four people': Trial hears video evidence of Jeremy Skibicki at Winnipeg trial
“I killed four people,” alleged serial killer Jeremy Skibicki told two homicide detectives during a recorded interview played as evidence in his trial Wednesday.
Seafood, eat food: Calgary Stampede releases Midway menu
The Calgary Stampede has released its menu of sweet, salty and spicy treats available on the Midway for the Greatest Outdoor Show on Earth.