{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:50:03Z","timestamp":1787017803324,"version":"build-2736575974"},"reference-count":21,"publisher":"Wiley","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Pregnancy"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>\n                    <jats:italic>Objectives<\/jats:italic>\n                    . To review the determinants for a failed operative vaginal delivery and to examine associated fetal and maternal morbidity.\n                    <jats:italic>Design<\/jats:italic>\n                    . Retrospective observational study.\n                    <jats:italic>Setting<\/jats:italic>\n                    . Large London Teaching Hospital.\n                    <jats:italic>Method<\/jats:italic>\n                    . A retrospective review of case notes during a 5-year period was carried out.\n                    <jats:italic>Results<\/jats:italic>\n                    . Overall 119 women (0.44%) out of 26,856 births had a caesarean section following a failed instrumental delivery, which comprised 5.1% of all operative vaginal births. 73% had a spontaneous onset of labour and 63% required syntocinon at some time prior to delivery. 71.5% of deliveries were complicated by malposition. Only 20% of deliveries were attended by a consultant obstetrician. Almost 50% of women and 8.4% of neonates sustained trauma at the time of either their failed instrumental delivery or the caesarean section.\n                    <jats:italic>Conclusions<\/jats:italic>\n                    . Emergency caesarean section during the second stage of labour is associated with maternal and fetal complications. A \u2018failed instrumental delivery score\u2019 (FIDS) may aid practitioners in predicting an increased likelihood of a failed operative vaginal birth and therefore to consider a trial of operative vaginal delivery in the theatre. Senior input should also be sought because a failed operative vaginal birth is associated with increased maternal and fetal morbidity.\n                  <\/jats:p>","DOI":"10.1155\/2015\/627810","type":"journal-article","created":{"date-parts":[[2015,5,11]],"date-time":"2015-05-11T17:06:49Z","timestamp":1431364009000},"page":"1-6","source":"Crossref","is-referenced-by-count":13,"title":["Determinants and Outcomes of Emergency Caesarean Section following Failed Instrumental Delivery: 5-Year Observational Review at a Tertiary Referral Centre in London"],"prefix":"10.1155","volume":"2015","author":[{"given":"Sian","family":"McDonnell","sequence":"first","affiliation":[{"name":"St. George\u2019s University Hospitals NHS Foundation Trust, Blackshaw Road, London SW 17 0RE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edwin","family":"Chandraharan","sequence":"additional","affiliation":[{"name":"St. George\u2019s University Hospitals NHS Foundation Trust, Blackshaw Road, London SW 17 0RE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1471-0528.2003.01463.x"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.01.013"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(01)06341-3"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.3109\/01443610903572109"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.6155.7"},{"issue":"10","key":"6","year":"2010","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2011.03.008"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.3109\/01443611003628411"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38971.466979.de"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2010.189605.74"},{"key":"11","year":"2011"},{"key":"12","series-title":"Practice Bulletin no. 17","year":"2000"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.06.051"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00046-X"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12199"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828x.2001.tb01200.x"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00729.x"},{"key":"18","year":"2012"},{"issue":"4","key":"20","first-page":"317","volume":"45","year":"2000","journal-title":"The Journal of Reproductive Medicine"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1080\/00016340802443848"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2007.03.004"}],"container-title":["Journal of Pregnancy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/jp\/2015\/627810.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jp\/2015\/627810.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/jp\/2015\/627810.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,8,18]],"date-time":"2016-08-18T18:23:26Z","timestamp":1471544606000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/jp\/2015\/627810\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":21,"alternative-id":["627810","627810"],"URL":"https:\/\/doi.org\/10.1155\/2015\/627810","relation":{},"ISSN":["2090-2727","2090-2735"],"issn-type":[{"value":"2090-2727","type":"print"},{"value":"2090-2735","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}