Objectives : The aim of the study is to assess the maternal and neonatal outcomes of operative vaginal deliveries at Sultan Qaboos University Hospital (SQUH). The proportion of operative vaginal deliveries was assessed along with the proportion of maternal and neonatal outcomes of kiwi OmniCup vacuum, metal cup vacuum and forceps deliveries Methods : A retrospective cohort study was conducted in the department of Obstetrics and Gynecology at SQUH from June 2015 to March 2018. Ethical approval was obtained from the Research Ethics Committee of the college of Medicine and Health Sciences at Sultan Qaboo s University, and the hospital information system was utilized to obtain records of all women who delivered at SQUH by vacuum or forceps during the study period. Data included: maternal demographics, maternal and neonatal outcomes and total number of deli veries. Analytic aspect was done using SPSS version 22 with frequency tables, pie charts, Chi square test and ANOVA Results : During the study period, 3.8% of deliveries were operative vaginal deliveries. The most common instrument used was kiwi cup vacu um device. No significant difference was found between type of tears and instrument used except with perineal tears ( p =0.003) which was seen more in the vacuum group particularly kiwi cup. Neonatal birth weight ( p =0.046) was significantly higher in met allic vacuum cup group. Thirty two neonates (6.9%) were admitted to neonatal intensive care unit and most were born using kiwi cup vacuum (63.1%) Conclusions : Operative vaginal delivery is an ideal alternative to cesarean section with less maternal and neonatal complications in women who cannot deliver spontaneously if done by a well trained obstetrician .

Objectives : The aim of the study is to assess the maternal and neonatal outcomes of operative vaginal deliveries at Sultan Qaboos University Hospital (SQUH). The proportion of operative vaginal deliveries was assessed along with the proportion of maternal and neonatal outcomes of kiwi OmniCup va...