Tasa de partos instrumentales en España

The Spanish Society of Gynaecology and Obstetric and several National and International Health bodies currently advocate a more physiological care instead of a more medicalised care. However, the incidence of instrumental deliveries is high in Spain (23%) compared with other Western Countries (10% rate), and the reason for some is not well justified, as 40% of these is done to prevent problems or teaching. Also, the use of forceps (52%) compared to the total number of instrumental deliveries is high (20% incidence). Instrumental delivery, particularly forceps, is a very important risk factor for grade III and IV tears, which in turn increase the risk of faecal and air incontinence in women. Thus, in this country it is vital to optimise the system to review the rate of instrumental deliveries and the use of forceps in the total.