Zeitschriftenartikel: „Vacuum assisted delivery“

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Williams, Mark C. „Vacuum-Assisted Delivery“. Clinics in Perinatology 22, Nr. 4 (Dezember 1995): 933–52. http://dx.doi.org/10.1016/s0095-5108(18)30263-x.

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Vacca, Aldo. „Vacuum-assisted delivery“. Best Practice & Research Clinical Obstetrics & Gynaecology 16, Nr. 1 (Februar 2002): 17–30. http://dx.doi.org/10.1053/beog.2001.0252.

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Vacca, A. „I354 Vacuum assisted delivery“. International Journal of Gynecology & Obstetrics 107 (Oktober 2009): S88. http://dx.doi.org/10.1016/s0020-7292(09)60354-4.

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McQuivey, RW. „Vacuum-assisted delivery: a review“. Journal of Maternal-Fetal & Neonatal Medicine 16, Nr. 3 (01.09.2004): 171–80. http://dx.doi.org/10.1080/jmf.16.3.171.180-25.

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RW, McQuivey. „Vacuum-assisted delivery: a review“. Journal of Maternal-Fetal and Neonatal Medicine 16, Nr. 3 (01.09.2004): 171–80. http://dx.doi.org/10.1080/1476-7050400001706.

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B., Jeyamani, und Nashreen Dhasleema A. „Fetomaternal outcome in operative vaginal delivery“. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 10, Nr. 11 (27.10.2021): 4096. http://dx.doi.org/10.18203/2320-1770.ijrcog20214314.

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Background: Operative vaginal deliveries (OVD) were performed with the help of vacuum or forceps in the second stage of labor when mother and foetus condition is threatening. A successful assisted vaginal delivery avoids caesarean section and its associated morbidity and implications for future pregnancy. The aim of the study was to assess the maternal and neonatal outcome of vacuum and forceps assisted vaginal deliveries.Methods: It was a retrospective comparative cross sectional study done in VMKVMCH, Salem in obstetrics and gynecology department, from the period of April to June 2021. All the mothers delivered by operative vaginal delivery were included. Mothers with multiple pregnancies, preterm and breech presentation were excluded. Data collected using patients information sheet and analysis was done using SPSS 23. P value <0.05 was considered significant.Results: The most common age group was 21-25 years of age in both groups and most commonly used in primigravida. The most common indication for forceps assisted delivery in our study was the prolonged second stage labour and in vacuum delivery was poor maternal effort. In our study, common complication noted was extended episiotomy followed by perineal tear in forceps group and vice versa in vacuum group. Cephalhematoma was found to be more common in vacuum and scalp and instrumental injuries were more common in forceps assisted vaginal deliveries.Conclusions: Operative vaginal deliveries helps in improving both maternal and foetal outcomes and reduces the caesarean delivery rate and vacuum significantly reduces maternal trauma than forceps. No difference noted in neonatal outcome.

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Swain, Sujata, N. Sagarika, Rabi N. Satpathy und Purna C. Mahapatra. „Assisted delivery of mobile fetal head: a comparison of forceps, vaccum and assisted manual extraction of head at caesarean section“. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, Nr. 9 (28.08.2017): 4065. http://dx.doi.org/10.18203/2320-1770.ijrcog20174063.

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Background: Difficult fetal extraction occurs in 1-2% of caesarean deliveries. Either forceps or a vaccum device is often used to assist in delivery of the fetal head in cesarean section in high floating/mobile fetal head. This study compare the safety (for mother and fetus) and efficacy of forceps and vacuum assisted delivery of high floating/mobile fetal head with the traditional method of manual extraction at caesarean section.Methods: The sample size included 100 cases of LSCS with manual extraction of fetal head, 100 cases of LSCS with forceps assisted extraction of fetal head and 100 cases of LSCS with vacuum assisted extraction of fetal head.Results: Application of fundal pressure was required in all cases of manual extraction group, in 51 cases of forceps extraction group. None of the cases of vacuum extraction group required application of fundal pressure. The U-D interval in manual extraction group was 90.56±4.91 seconds, in forceps extraction group was 70.2±5.02 seconds and in the vacuum extraction group it was 62.3±2.03 seconds. In the manual extraction group, there was an estimated blood loss of 428±69.38 ml, 579±97.22 ml of estimated blood loss was present in forceps extraction group and in the vacuum extraction group it was 454±66.92 ml.Conclusions: This study reveals that with use of vacuum in CS for delivery of floating head, is superior than application of forceps and manual delivery in relation to time, blood loss and fundal pressure without any adverse effect on neonates and maternal complication.

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Simonson, Colin, Patricia Barlow, Nathalie Dehennin, Marianne Sphel, Véronique Toppet, Daniel Murillo und Serge Rozenberg. „Neonatal Complications of Vacuum-Assisted Delivery“. Obstetrics & Gynecology 109, Nr. 3 (März 2007): 626–33. http://dx.doi.org/10.1097/01.aog.0000255981.86303.2b.

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Vacca, Aldo. „Neonatal Complications of Vacuum-Assisted Delivery“. Obstetrics & Gynecology 110, Nr. 1 (Juli 2007): 189. http://dx.doi.org/10.1097/01.aog.0000269870.95850.39.

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Simonson, Colin, Patricia Barlow, Nathalie Dehennin, Marianne Sphel, Veronique Toppet, Daniel Murillo und Serge Rozenberg. „Neonatal Complications of Vacuum-Assisted Delivery“. Obstetrics & Gynecology 110, Nr. 1 (Juli 2007): 189. http://dx.doi.org/10.1097/01.aog.0000269875.51861.f3.

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Chadwick, Preston W., und Warren R. Heymann. „Vesicular Eruption of Vacuum-Assisted Delivery“. Pediatric Dermatology 31, Nr. 3 (28.12.2012): 381–82. http://dx.doi.org/10.1111/pde.12070.

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Gayatri, Sivasambu, Sujani B. K., Urvashi Urvashi und Priyanka Sinha. „Outcome of Assisted Vaginal Deliveries in a Tertiary Care Centre in Bengaluru“. Journal of Evolution of Medical and Dental Sciences 10, Nr. 40 (04.10.2021): 3538–42. http://dx.doi.org/10.14260/jemds/2021/717.

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BACKGROUND The lower segment caesarean section (LSCS) audit shows an increase in caesarean section rates worldwide. Assisted vaginal delivery and, if needed, emergency caesarean section are options available to the obstetrician to handle challenges in the second stage when spontaneous and safe delivery is not imminent. Judicious use of the instrument as well as continuing medical education in the art of assisted vaginal delivery is a must to achieve the twin goal of containing the surging caesarean section rate as well as bring about a successful and safe assisted vaginal delivery. The objective of this study was to quantify the various morbidities associated with assisted vaginal deliveries among patients in a tertiary care teaching hospital in Bengaluru. METHODS It is a retrospective study carried for four years between July 2016 and June 2020 at Ramaiah Medical College at Bengaluru. The total number of vaginal deliveries was 6318 out of which 1020 had a successful assisted vaginal delivery and were studied in terms of outcomes, maternal and foetal indications and morbidity. RESULTS Out of 1020 assisted vaginal deliveries, 86.96 % were vacuum-assisted, 3.9 % were forceps assisted and 9.11 % were both vacuum and forceps assisted. The success rate of forceps deliveries was more compared to vacuum. No significant maternal and neonatal mortality and morbidity were observed in our study. CONCLUSIONS In this study, vacuum was the most used method of assisted vaginal delivery and was safer for mothers and babies. It is also easier to teach and learn. Forceps delivery was more used in preterm delivery. KEY WORDS Assisted Vaginal Delivery, Vacuum, Forceps, Sequential use of Instruments, Maternal and Neonatal Morbidity.

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M., Shwetha, und Shilpa M. N. „Maternal and neonatal outcomes in vacuum assisted births in the government tertiary care hospital in Mandya: a retrospective record-based study“. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, Nr. 3 (27.02.2020): 965. http://dx.doi.org/10.18203/2320-1770.ijrcog20200569.

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Background: Vacuum extraction and forceps are the two options when an instrument is needed to facilitate a vaginal birth. Vacuum extraction has recently gained popularity because of new designs of vacuum cups with reduced risk of injury to the neonate. Vacuum extraction is one of the evidence-based interventions that can prevent complications by shortening the second stage of labour. The present study has been carried out to evaluate the maternal and neonatal morbidity, mortality and failure associated with vacuum assisted vaginal deliveries, at a Government tertiary care hospital in Mandya, Karnataka, India.Methods: The study was a record-based study including a total of 207 women who underwent vaginal assisted delivery in the form of vacuum assisted deliveries in a period of 6 months from January 2019 to June 2019 at the Government tertiary care hospital in Mandya, Karnataka, India. Records of women who had vacuum assisted deliveries and records of their newborn children were accessed.Results: In our study 41.5% of the subjects were in the age group of 21-25 years. Nearly 3/4th (74.4%) of the subjects were primigravida. More than half (54.1%) of the study subjects had to be put under vacuum assisted techniques for delivery because of the prolonged second stage of labour, failure rate was 0.4%. Out of 207 vacuum assisted deliveries maternal complication rate was 8.21%, 17.3% neonates had NICU admission and 14.97% had perinatal complications.Conclusions: Vacuum assisted vaginal delivery is comparatively a better choice in preventing the complications caused due to prolonged second stage of labour thus reducing the cesareans rate. It is a safe alternative to cesareans delivery in rightly chosen case. Vacuum assisted delivery by a skilled person and a proper technique is associated with lesser maternal and neonatal morbidity.

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Kamijo, Kyosuke, Daisuke Shigemi, Mikio Nakajima, Richard H. Kaszynski und Satoshi Ohira. „Association between the number of pulls and adverse neonatal/maternal outcomes in vacuum-assisted delivery“. Journal of Perinatal Medicine 49, Nr. 5 (19.02.2021): 583–89. http://dx.doi.org/10.1515/jpm-2020-0433.

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Abstract Objectives To determine the association between the number of pulls during vacuum-assisted deliver and neonatal and maternal complications. Methods This was a single-center observational study using a cohort of pregnancies who underwent vacuum-assisted delivery from 2013 to 2020. We excluded pregnancies transitioning to cesarean section after a failed attempt at vacuum-assisted delivery. The number of pulls to deliver the neonate was categorized into 1, 2, 3, and ≥4 pulls. We used logistic regression models to investigate the association between the number of pulls and neonatal intensive care unit (NICU) admission and maternal composite outcome (severe perineal laceration, cervical laceration, transfusion, and postpartum hemorrhage ≥500 mL). Results We extracted 480 vacuum-assisted deliveries among 7,321 vaginal deliveries. The proportion of pregnancies receiving 1, 2, 3, or ≥4 pulls were 51.9, 28.3, 10.8, and 9.0%, respectively. The crude prevalence of NICU admission with 1, 2, 3, and ≥4 pulls were 10.8, 16.2, 15.4, and 27.9%, respectively. The prevalence of NICU admission, amount of postpartum hemorrhage, and postpartum hemorrhage ≥500 mL were significantly different between the four groups. Multivariable logistic regression analysis found the prevalence of NICU admission in the ≥4 pulls group was significantly higher compared with the 1 pull group (adjusted odds ratio, 3.3; 95% confidence interval, 1.4–7.8). In contrast, maternal complications were not significantly associated with the number of pulls. Conclusions Vacuum-assisted delivery with four or more pulls was significantly associated with an increased risk of NICU admission. However, the number of pulls was not associated with maternal complications.

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Shrestha, Buddhi, Subha Shrestha und Babita Thapa. „Vacuum Assisted Vaginal Delivery in Singleton Term Pregnancies: Short Term Maternal and Neonatal Outcome in a Tertiary Hospital of Nepal“. Journal of Lumbini Medical College 4, Nr. 2 (30.12.2016): 104. http://dx.doi.org/10.22502/jlmc.v4i2.101.

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Introduction: Other than cesarean delivery, assisted vaginal delivery is an alternative procedure for delivery in emergency obstetrics. Presently, vacuum delivery has gained more popularity than forceps for operative/ assisted vaginal delivery, when and where indicated, with success as well as lesser neonatal and maternal complications. This study was done to estimate the short term maternal and fetal morbidity/mortality due to vacuum assisted vaginal delivery. Methods: A prospective observational study was conducted at Lumbini Medical College Teaching Hospital from January 2015 to May 2016. One hundred and four pregnant women who had successful vacuum assisted vaginal deliveries were enrolled. Fetal and maternal outcome were assessed. Results: One hundred and four successful vacuum deliveries (2.9%) were conducted among 3457 deliveries during our study period. Sixty seven (64.4%) were primigravida and most (n=59, 56.7%) parturients were of age group 20-30 years. The commonest (n=65, 62.5%) indication for vacuum application was prolonged second stage of labor. The maternal morbidity variables were: 6.7% (n=7) had genital tract injury, 3.8% (n=4) had primary post-partum hemorrhage, 3.8% (n=4) had urinary retention, 2.8% (n=3) needed blood transfusion. Among neonatal morbidity indicators, 19.2% (n=20) neonates had birth asphyxia, 4.8% (n=5) neonates had cephalohematoma, 0.96% (n=1) had brachial plexus injury. There was one early neonatal death due to meconium aspiration syndrome. Conclusion: A successful vacuum assisted delivery can be achieved with lesser maternal and neonatal morbidity with timely assessment of labor, skilled operator, and availability of neonatal team.

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Kafle, Deepak Raj, und Prem Raj Pageni. „Vacuum Deliveries: A Retrospective Study on Immediate Maternal and Neonatal Outcomes in Western Regional Hospital, Pokhara“. Medical Journal of Pokhara Academy of Health Sciences 3, Nr. 1 (09.10.2020): 234–38. http://dx.doi.org/10.3126/mjpahs.v3i1.31918.

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Introduction: The overall rate of operative vaginal delivery is diminishing, but the proportion of operative vaginal deliveries conducted by vacuum is increasing. As forceps assisted delivery requires more skill and has more complications on maternal genital tract, this procedure is being less frequently practiced. By the 1970s, the vacuum extractor virtually replaced forceps for assisted deliveries in most of the countries. Vacuum assisted vaginal delivery reduces maternal as well as neonatal morbidity and mortality in prolonged second stage of labor, non reassuring fetal status and maternal conditions requiring a shortened second stage. Materials and Methods: This was a record based retrospective study of 217 vacuum assisted vaginal deliveries conducted at Western Regional Hospital, Pokhara for a period of one year. Patient’s discharge charts were studied and details of indications for vacuum application, maternal genital tract status, amount of blood loss, postpartum hemorrhage (PPH), birth weight, APGAR score at 1 and 5 minute, Neonatal Intensive Care Unit (NICU) admission and neonatal death (NND) were collected. Descriptive data analysis was done using SPSS program. Results: Out of the 8778 deliveries conducted during the study period, 217 (2.47%) cases were vacuum assisted vaginal deliveries. No significant adverse obstetrics outcomes were noted. Most frequent indication was fetal distress which accounted for 53.9%. Though 3rd/4th degree perineal tears were less, episiotomy rate was higher (69.1%). Regarding neonatal outcomes, mean APGAR score at 5 minute was 7.42 ± 1.11 SD and 12.4% neonates had APGAR score of less than 7 at 5 minute. Conclusion: When standard criteria for vacuum application are met and standard norms are followed, there is no evidence of adverse obstetrics outcomes in vacuum assisted vaginal delivery. Prompt delivery by a skilled clinician in non reassuring fetal cardiac status reduces neonatal morbidity and mortality.

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Schifrin, Barry S., Tina Rubinstein, Rodolfo Quintero, Frank Lombano, Melissa Bush und Lela Lewis. „Adverse Effects of Vacuum-Assisted Delivery Devices“. Obstetrics & Gynecology 101, Supplement (April 2003): 7S. http://dx.doi.org/10.1097/00006250-200304001-00013.

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SCHIFRIN, B. „Adverse effects of vacuum-assisted delivery devices“. Obstetrics & Gynecology 101, Nr. 4 (April 2003): S7. http://dx.doi.org/10.1016/s0029-7844(02)02766-7.

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Vacca, A. „I355 The technique of vacuum-assisted delivery“. International Journal of Gynecology & Obstetrics 107 (Oktober 2009): S88. http://dx.doi.org/10.1016/s0020-7292(09)60355-6.

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Agarwal, Manisha, Sweekrati Solanki und Sumedha Sachau. „Vacuum-assisted caesarean delivery assessment of maternal & fetal outcome“. Indian Journal of Obstetrics and Gynecology Research 10, Nr. 4 (15.11.2023): 415–20. http://dx.doi.org/10.18231/j.ijogr.2023.080.

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: The baby is delivered via incisions made in the mother's abdomen and uterus during a Caesarean delivery, sometimes known as a C-section. Whether medically necessary or elective, caesarean sections have increased sharply in recent decades all throughout the world, exceeding the WHO-recommended 10-15% rate. Every effort should be taken to give cesarean sections to women in need rather than aiming to achieve a target rate, according to a 2015 WHO statement. Therefore, we must investigate the strategies that can improve CD's maternal and neonatal health condition. This study compares the outcomes for the mother and the newborn in the vacuum-assisted CD and manual CD groups.: A progressive study was conducted at Lucknow's Green cross Hospital between June 2012 and April 2018. 500 pregnant ladies took part in this study as participants. This research was approved by the institutional human ethical committee. 250 caesarean sections were performed as part of this cohort study, each with vacuum assistance utilizing a soft cup vacuum extractor on the fetal scalp and manual removal of the skull as usual with fundal compression as support. Due to the absence of uterine activity and amniotic fluid, all of the patients underwent preplanned caesarean sections. The study's findings showed that manual extraction Caesarean birth is inferior to vacuum-assisted Caesarean delivery. Additionally, it was noted that Vacuum Assisted Caesarean Delivery resulted in less uterine incision extension, estimated blood loss, and maternal discomfort. : There was no difference between Vacuum and Manual Extraction caesarean deliveries in terms of Apgar Score, the requirement for infant resuscitation, or admission to the NICU.

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Baruch, Yoav, Ronen Gold, Hagit Eisenberg, Hadar Amir, Yariv Yogev und Asnat Groutz. „Substantial Obstetric Anal Sphincter Injury during Vacuum Assisted Delivery: An Obstetrical Issue or Device Related?“ Journal of Clinical Medicine 11, Nr. 23 (26.11.2022): 6990. http://dx.doi.org/10.3390/jcm11236990.

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Background: Obstetric anal sphincter injuries (OASIS) might be associated with long-term urinary and anorectal morbidities. The aim of the study was to investigate the risk factors and clinical implications of OASIS associated with vacuum-assisted deliveries versus normal vaginal deliveries. Methods: A series of 413 consecutive OASIS cases were retrospectively analyzed. A comparison was made between OASIS cases diagnosed following vacuum-assisted deliveries versus OASIS cases diagnosed following normal vaginal deliveries. Multivariable analysis was used to study the association between vacuum-assisted deliveries and superficial (3A and 3B) versus deep (3C and 4) perineal tears. Results: The study population comprised 88,123 singleton vaginal deliveries. Diagnosis of OASIS was made in 413 women (0.47% of the total cohort), 379 (91.8%) of whom had third-degree tears and 34 (8.2%) of whom had fourth-degree tears. Among the 7410 vacuum-assisted deliveries, 102 (1.37%) had OASIS, whereas, among the 80,713 normal vaginal deliveries, only 311 (0.39%) had OASIS. In a multivariate analysis, only vacuum-assisted delivery was found to be associated with a significant risk of deeper (3C or 4) perineal tears (OR = 1.72; 95% CI 1.02–2.91; p = 0.043). Conclusions: Vacuum-assisted instrumental intervention is a significant risk factor for OASIS and especially for deeper tears, independent of other maternal and obstetric risk factors.

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Levin, Gabriel, Matan Elami-Suzin, Uriel Elchalal, Yossef Ezra, David Mankuta, Aya Lewkowicz, Simcha Yagel und Amihai Rottenstreich. „Subsequent Pregnancy Outcomes After Failed Vacuum-Assisted Delivery“. Obstetrics & Gynecology 134, Nr. 6 (Dezember 2019): 1245–51. http://dx.doi.org/10.1097/aog.0000000000003527.

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Garcia-Jimenez, Rocio, Irene Valero, Carlota Borrero, Jose Antonio Garcia-Mejido, Ana Fernandez-Palacin, Rosa Serrano und Jose Antonio Sainz-Bueno. „Can Intrapartum Ultrasonography Improve the Placement of the Vacuum Cup in Operative Vaginal Deliveries?“ Tomography 9, Nr. 1 (27.01.2023): 247–54. http://dx.doi.org/10.3390/tomography9010019.

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Although the fetal head position has traditionally been evaluated by digital examination (DE), it has a failure rate ranging between 20 and 70%; hence, intrapartum transabdominal ultrasonography (TUS) has become relevant. We aimed to evaluate the utility of the TUS to identify the fetal head positions in vacuum-assisted deliveries. We performed a prospective observational study including 101 pregnant patients in active labor who required a vacuum-assisted delivery. The fetal head position was assessed by a DE and a TUS prior to vacuum cup placement. After delivery, the optimal vacuum cup placement was evaluated as the distance between the chignon and the flexion point ≤2 cm. The general concordance rate between the DE and TUS was 72.2%, with the poorest concordance rate for occiput posterior positions at 46.1%. In five cases (4.9%), it was not possible to determine the fetal head position through the DE. The correlation was higher in low and medium planes, with 77% and 68.1% concordance rates, respectively, while it was lower in high planes (60%). In 90.1% of cases, the vacuum cup placement was optimal. Our findings show that intrapartum transabdominal ultrasonography is a useful technique to identify the fetal head position allowing optimal placement of the vacuum cup necessary for correct vacuum-assisted delivery.

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Ayesha Sultana, M., Kothapalli Suprada, B. Rao Bahadur und K. Gangadhara Rao. „Instrumental deliveries and its outcome in tertiary care center“. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 13, Nr. 6 (29.05.2024): 1527–30. http://dx.doi.org/10.18203/2320-1770.ijrcog20241438.

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Background: Objective of the study was to determine the incidence and indication of assisted vaginal deliveries and to compare the fetal and maternal outcome of vacuum and forceps deliveries. Methods: This study done over a period of one and half year from March 2022 to August 2023 at NRI Medical College, Chinnakakani. Total number of vaginal deliveries are 1617, out of which 33 had a successful assisted vaginal delivery and studied in terms of maternal and fetal outcome. Verbal consent was taken, indication for instrumental application documented and pre requisites fulfilled before instrument application. Results: Out of 1617 vaginal deliveries in our institute, 33 cases successful underwent assisted vaginal deliveries in which 49% were vacuum assisted, 51% were forceps assisted deliveries. Most common indication for instrument application were fetal distress (51%), failure of maternal forces followed by maternal exhaustion (30%). We had 2nd degree perineal tear - 2 (11.76%), cervical tear - 1 (5.88%), PPH-1 (5.88%), 1- vaginal laceration (6.25%) as maternal complications. Out of 16 vacuum and 17 forceps deliveries, 5/16 (31.25%) and 8/17 (47.06%) were admitted in NICU respectively. Conclusions: In the present study showed that most common indication for assisted vaginal deliveries are fetal distress and maternal exhaustion. Maternal complications are seen more in forceps deliveries when compared to vaccum. There is no significant difference between vaccum and forceps deliveries in neonatal complications when compared.

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Schreiber, Hanoch, Gal Cohen, Gil Shechter-Maor, Sivan Farladansky Gershnabel, Maya Sharon Weiner, Ofer Markovitch und Tal Biron-Shental. „Vacuum assisted delivery outcomes. Does advanced maternal age matter?“ American Journal of Obstetrics and Gynecology 226, Nr. 1 (Januar 2022): S98—S99. http://dx.doi.org/10.1016/j.ajog.2021.11.180.

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Keski-Nisula, L., M. Harju, M. R. Järvelin und J. Pekkanen. „Vacuum-assisted delivery is associated with late-onset asthma“. Allergy 64, Nr. 10 (Oktober 2009): 1530–38. http://dx.doi.org/10.1111/j.1398-9995.2009.02044.x.

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NAZ, Shabnam, IRUM MEMON, SHOAIBUNISA SOOMRO und Rehana Parveen. „VACUUM EXTRACTION AND FORCEPS DELIVERIES;“. Professional Medical Journal 19, Nr. 05 (08.10.2012): 652–56. http://dx.doi.org/10.29309/tpmj/2012.19.05.2337.

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Objective: To compare the maternal and neonatal morbidity between vacuum extraction versus forceps vaginal delivery. Studydesign: Quasi-experimental study. Period: January 2009 to December 2010. Setting: Department of Obstetrics and Gynecology CMC,SMBBMU Larkana. Methodology: All patients delivered by forceps or vacuum with singleton pregnancy were included, the patient withmultiple gestation, breech presentation and gestational age less than 34 weeks were excluded. Data collected in pre-set Proforma include typeof instrument used, indication of instrumental delivery, maternal and neonatal complications of procedure. Data was analyzed; frequency andpercentage will be calculated for maternal age, gestational age, and degree of perineal and cervical tears. .chi-square test was applied tocompare the degree of neonatal and maternal complications. P-value less than 0.05 taken as significant. Results: Total 9, 5600 deliveries wereconducted, among them assisted vaginal deliveries were169 making the frequency of 2.66%, among which 96 have forceps and 64 wereventouse vaginal deliveries. Majority of women were primigravida. In infants of less than 37 weeks of gestation the use of forceps wassignificantly more common, delay in second stage of labor was the most common indication for vacuum extraction while fetal distress was morecommon reason for forceps delivery. Severe birth canal injuries (third and fourth degree perineal tears) and procedure related blood loss ofmore than 500 ml was significantly more common in forceps delivery group. Cephalhaematoma, neonatal jaundice and severe caputsuccedanum at discharge were more seen in vacuum deliveries, but facial injuries were more common after forceps delivery. Intracranialhemorrhage was identified in two infants born by vacuum extraction and none in forceps group. Two infants delivered by vacuum extractionexpired, one due to respiratory distress and other due to intracranial hemorrhage, and one of the infants delivered by forceps expired due tomeconium aspiration syndrome (MAS). Conclusions: Each instrument has its own merits and demerits .Maternal and neonatal outcomedepends on indications of instruments, patient selection and skill of operator. We conclude that forceps delivery is more associated withmaternal genital tract trauma and vacuum delivery is associated with more neonatal complications. So it is the choice of obstetrician to selectthe proper instruments . We also suggest that obstetricians learn these skills not on patients but in a skill laboratory using models.

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VACCA, ALDO. „REDUCING THE RISKS OF A VACUUM DELIVERY“. Fetal and Maternal Medicine Review 17, Nr. 4 (November 2006): 301–15. http://dx.doi.org/10.1017/s0965539506001823.

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Evidence-based reviews and practice guidelines have identified a number of risk factors associated with vacuum assisted delivery (VAD) that may result in adverse effects on the newborn infant, injuries to the mother's genital tract, and difficulty or failure of the procedure. In addition, clinical circumstances that predispose to increased risk, such as the use of the vacuum extractor for rotational and mid-cavity procedures, have been highlighted as possible avoidable factors. Although there is general agreement that success of vacuum delivery depends on the knowledge, experience and skill of the operator, system analyses of adverse outcomes often reveal inadequate training as a major contributing factor. It is beyond the scope of this review to present the detailed knowledge and technical skills required for correct use of the vacuum extractor. A variety of teaching resources is available for this purpose and practitioners who wish to obtain more information are referred to them.

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Korhonen, Ulla, Pekka Taipale und Seppo Heinonen. „Assessment of Bony Pelvis and Vaginally Assisted Deliveries“. ISRN Obstetrics and Gynecology 2013 (04.04.2013): 1–5. http://dx.doi.org/10.1155/2013/763782.

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Objective. To evaluate whether pelvic measurements have any association with operative vaginal deliveries and the duration of the second stage of the delivery. Study design. A retrospective study of pregnant women at an increased risk of fetal-pelvic disproportion during 2000–2008 in North-Carelian Central Hospital. The mode of the vaginal delivery was chosen to represent the reference standard. The target condition was spontaneous vaginal delivery. Patients were divided into subgroups according to the size of the fetus and also by the parity to evaluate the variability reflecting differences in patient groups. Receiver operating characteristic (ROC) curves were established. Results. A total of 226 participants with fetal cephalic presentation delivered vaginally; of these, 184 women delivered spontaneously, and 42 women required operative vaginal delivery with vacuum extraction. There were no clinically or statistically significant differences between the size of the maternal pelvic outlet and the different modes of delivery types within these subgroups. With respect to the pelvic inlet and outlet, the areas under the curve in ROC were 0.566 with the P value of 0.18 and 95% confidence interval (CI) of 0.465–0.667 and 0.573 (95% CI: 0.484–0.622; P=0.14). Conclusions. The maternal bony pelvic dimensions exhibited virtually no correlation with the need for operative vaginal deliveries.

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Arslan, Erol, und çiğdem akçabay. „The maternal and neonatal outcomes of vacuum assisted vaginal delivery“. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi 35, Nr. 3 (2021): 0. http://dx.doi.org/10.5505/deutfd.2021.02170.

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Lacker, Cynthia. „Preventing Maternal and Neonatal Harm During Vacuum-Assisted Vaginal Delivery“. American Journal of Nursing 112, Nr. 2 (Februar 2012): 65–69. http://dx.doi.org/10.1097/01.naj.0000411187.24212.40.

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Ryman, P., M. Ahlberg und C. Ekéus. „Risk factors for anal sphincter tears in vacuum-assisted delivery“. Sexual & Reproductive Healthcare 6, Nr. 3 (Oktober 2015): 151–56. http://dx.doi.org/10.1016/j.srhc.2015.02.005.

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Johanson, R. B., und B. K. V. Menon. „Soft Versus Rigid Vacuum Extractor Cups for Assisted Vaginal Delivery“. Birth 27, Nr. 1 (März 2000): 65. http://dx.doi.org/10.1046/j.1523-536x.2000.00064-2.x.

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Johanson, R. B., und B. K. V. Menon. „Soft Versus Rigid Vacuum Extractor Cups for Assisted Vaginal Delivery“. Birth 27, Nr. 1 (März 2000): 64. http://dx.doi.org/10.1046/j.1523-536x.2000.00064.x.

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Krispin, Eyal, Amir Aviram, Lina Salman, Rony Chen, Arnon Wiznitzer und Rinat Gabbay-Benziv. „Cup detachment during vacuum-assisted vaginal delivery and birth outcome“. Archives of Gynecology and Obstetrics 296, Nr. 5 (04.09.2017): 877–83. http://dx.doi.org/10.1007/s00404-017-4507-5.

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Veltman, Larry. „Vacuum-assisted vaginal delivery (VAVD)-Basics for the risk manager“. Journal of Healthcare Risk Management 33, Nr. 4 (April 2014): 23–28. http://dx.doi.org/10.1002/jhrm.21139.

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Levin, Gabriel, Amihai Rottenstreich, Tal Cahan, David Mankuta, Simcha Yagel, Yoav Yinon und Raanan Meyer. „Second stage expedite delivery of low birth weight neonates: Emergent cesarean delivery versus vacuum assisted delivery“. Journal of Gynecology Obstetrics and Human Reproduction 50, Nr. 8 (Oktober 2021): 102136. http://dx.doi.org/10.1016/j.jogoh.2021.102136.

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Singh, Shilpi, Munikrishna M. und Sheela S. R. „A comparative study of maternal outcome between vacuum extraction and outlet forceps delivery“. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, Nr. 6 (26.05.2018): 2441. http://dx.doi.org/10.18203/2320-1770.ijrcog20182365.

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Background: Instrumental delivery is an art that is fading and may disappear in the near future as more and more obstetricians are resorting to caesarean sections. Instrumental vaginal deliveries comprise the use of vacuum assisted devices and /or forceps to assist in delivering a fetus, offering the alternative to accomplish vaginal delivery in properly selected cases thereby reducing maternal morbidity in terms of blood loss and increase hospital stay which is a consequence of cesarean sections. The objective of the present study is to compare the maternal morbidity with vacuum and outlet forceps delivery.Methods: A prospective comparative study was conducted in women delivering at department of obstetrics and gynaecology, in SDUMC, R L Jalappa Hospital, Kolar from March 2016 - March 2017 for a period of one year. A minimum of 180 patients were taken up for study. 90 women delivered by outlet forceps delivery and 90 women by vacuum delivery. Cases which require instrumental vaginal delivery and fulfilling the inclusion criteria for forceps or vacuum were taken up for the study, after taking informed consent. Maternal outcomes including episiotomy wound and extension, perineal tear, post-partum hemorrhage, hospital stay was analyzed and compared.Results: Mostly forceps and vacuum were applied for age group of 26-30 years and primigravida, which showed a statistical significance. Extension of episiotomy was more with forceps that is 21.1% and with vacuum being 4.4%. This difference was statistically significant. Postpartum hemorrhage was also more common in forceps group that is 13.3%compared to vacuum 11.1% but the difference was not statistically significant. The need for blood transfusion was seen more in cases of forceps that is 11.1% cases whereas in vacuum i.e. 6.7% cases but was not statistically significant.Conclusions: With the expertise and appropriate decision on the indication and meticulous handling of the instrument whether outlet forceps or vacuum, especially in a tertiary care centre, the maternal outcome is equally good with both the instruments.

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B. T., Bhanu, und Anitha G. S. „Instrumental delivery: a comparative study in a tertiary care hospital“. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, Nr. 3 (27.02.2018): 1079. http://dx.doi.org/10.18203/2320-1770.ijrcog20180896.

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Background: To compare maternal and neonatal outcomes of vacuum versus forceps application in assisted vaginal delivery.Methods: Women in labor with vertex presentation were delivered by indicated/propylactic vacuum or forceps. A total of 500 cases were included in this retrospective study. Maternal and neonatal morbidity were compared in terms of perineal lacerations, episiotomy extension, post-partum hemorrhage, Apgar score, neonatal jaundice, perinatal mortality, NICU admissions etc. Chi square test was used to analyze the data.Results: Maternal morbidity was significant in the forceps group. With regards to neonatal morbidity, in NICU admissions, statistically significant difference was noted.Conclusions: Vacuum and forceps should remain appropriate tools in the modern obstetrics. However, ventouse may be chosen first (if there is no fetal distress) as it is significantly less likely to injure the mother and decrease NICU admissions.

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Goordyal, Dushyant, John Anderson, Ali Alazmani und Peter Culmer. „An engineering perspective of vacuum assisted delivery devices in obstetrics: A review“. Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine 235, Nr. 1 (15.09.2020): 3–16. http://dx.doi.org/10.1177/0954411920956467.

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Complications during childbirth result in the need for clinicians to use ‘assisted delivery’ in over 12% of cases (UK). After more than 50 years in clinical practice, vacuum assisted delivery (VAD) devices remain a mainstay in physically assisting child delivery; sometimes preferred over forceps due to their ease of use and reduced maternal morbidity. Despite their popularity and enduring track-record, VAD devices have shown little evidence of innovation or design change since their inception. In addition, evidence on the safety and functionality of VAD devices remains limited but does present opportunities for improvements to reduce adverse clinical outcomes. Consequently in this review we examine the literature and patent landscape surrounding VAD biomechanics, design evolution and performance from an engineering perspective, aiming to collate the limited but valuable information from a disparate field and provide a series of recommendations to inform future research into improved, safer, VAD systems.

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Schreiber, Hanoch, Gal Cohen, Sivan Farladansky-Gershnabel, Maya Sharon-Weiner, Gil Shechter Maor, Tal Biron-Shental und Ofer Markovitch. „Vacuum-Assisted Delivery Complication Rates Based on Ultrasound-Estimated Fetal Weight“. Journal of Clinical Medicine 11, Nr. 12 (17.06.2022): 3480. http://dx.doi.org/10.3390/jcm11123480.

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This retrospective cohort study investigated the association between ultrasonographic estimated fetal weight (EFW) and adverse maternal and neonatal outcomes after vacuum-assisted delivery (VAD). It included women with singleton pregnancies at 34–41 weeks gestation, who underwent ultrasonographic pre-labor EFW and VAD in an academic institution, over 6 years. Adverse neonatal and maternal outcomes included shoulder dystocia, clavicular fracture, or third- and fourth-degree perineal tears. A receiver–operator characteristic curve was used to identify the optimal weight cut-off value to predict adverse outcomes. Fetuses above and below this point were compared. Multivariate analysis was used to control for factors that could lead to adverse outcomes. Eight-hundred and fifty women met the inclusion criteria and had sonographic EFW within two-weeks before delivery. Receiver–operator characteristic curve analysis found that ultrasonographic EFW 3666 g is the optimal threshold for adverse outcomes. Based on these results, outcomes were compared using EFW 3700 g. The average EFW in the ≥3700 g group (n = 220, 25.9%) was 3898 ± 154 g (average birthweight 3710 ± 324 g). In the group <3700 g (n = 630, 74.1%), average EFW was 3064 ± 411 g (birthweight 3120 ± 464 g). Shoulder dystocia and clavicular fractures were more frequent in the higher EFW group (6.4% and 2.3% vs. 1.6% and 0.5%, respectively; p < 0.05). Women in the ≥3700 g group experienced more third- and fourth-degree perineal tears (3.2% vs. 1%, p = 0.02). Multivariate logistic regression analysis found maternal age, diabetes and sonographic EFW ≥ 3700 g as independent risk-factors for adverse outcomes. Sonographic EFW ≥ 3700 g is an independent risk-factor for adverse outcomes in VAD. This should be considered when choosing the optimal mode of delivery.

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Schreiber, Hanoch, Gal Cohen, Sivan Farladansky Gershnabel, Maya Sharon Weiner, Gil Shechter-Maor, Tal Biron-Shental und Ofer Markovitch. „Vacuum-assisted delivery complications rate based on ultrasound-estimated fetal weight“. American Journal of Obstetrics and Gynecology 226, Nr. 1 (Januar 2022): S98. http://dx.doi.org/10.1016/j.ajog.2021.11.179.

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Ross, Michael G., Meredith Fresquez und Mostafa A. El-Haddad. „Impact of FDA advisory on reported vacuum-assisted delivery and morbidity“. Journal of Maternal-Fetal and Neonatal Medicine 9, Nr. 6 (Januar 2000): 321–26. http://dx.doi.org/10.3109/14767050009018419.

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Fruscalzo, Arrigo, Ambrogio Pietro Londero, Angelo Calcagno, Irene Cipriani, Serena Bertozzi, Diego Marchesoni und Lorenza Driul. „Building a Prediction Model for Vacuum-Assisted Operative Vaginal Delivery Risk“. Gynecologic and Obstetric Investigation 80, Nr. 4 (25.04.2015): 246–52. http://dx.doi.org/10.1159/000381544.

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Kent, A., B. Lemyre, M. Loosley-Millman und B. Paes. „Posterior fossa haemorrhage in a preterm infant following vacuum assisted delivery“. BJOG: An International Journal of Obstetrics and Gynaecology 108, Nr. 9 (September 2001): 1008–10. http://dx.doi.org/10.1111/j.1471-0528.2001.00223.x.

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Choudhari, Kishor, und Yashashri Choudhari. „Posterior fossa haemorrhage in a preterm infant following vacuum assisted delivery“. BJOG: An International Journal of Obstetrics and Gynaecology 110, Nr. 8 (August 2003): 787. http://dx.doi.org/10.1111/j.1471-0528.2003.01044.x.

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Kent, A., B. Lemyre, M. Loosley-Millman und B. Paes. „Posterior fossa haemorrhage in a preterm infant following vacuum assisted delivery“. British Journal of Obstetrics and Gynaecology 108, Nr. 9 (September 2001): 1008–10. http://dx.doi.org/10.1016/s0306-5456(01)00223-6.

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Hiersch, Liran, Riki Bergel-Bson, Dorit Asher, Amir Aviram, Rinat Gabby-Benziv, Yariv Yogev und Eran Ashwal. „Risk factors for post-partum hemorrhage following vacuum assisted vaginal delivery“. Archives of Gynecology and Obstetrics 295, Nr. 1 (29.09.2016): 75–80. http://dx.doi.org/10.1007/s00404-016-4208-5.

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Ross, Michael G., Meredith Fresquez und Mostafa A. El-Haddad. „Impact of FDA advisory on reported vacuum-assisted delivery and morbidity“. Journal of Maternal-Fetal Medicine 9, Nr. 6 (November 2000): 321–26. http://dx.doi.org/10.1002/1520-6661(200011/12)9:6<321::aid-mfm1000>3.0.co;2-w.

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Krizman, Erin, Patricia Grzebielski, Kathleen M. Antony, Emmanuel Sampene, Matthew Shanahan, J. Igor Iruretagoyena und Justin Bohrer. „Operative Vaginal Delivery Is a Safe Option in Women Undergoing a Trial of Labor after Cesarean“. American Journal of Perinatology Reports 09, Nr. 02 (April 2019): e190-e194. http://dx.doi.org/10.1055/s-0039-1692482.

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Objective To compare outcomes of operative intervention in the second stage of labor during trial of labor after cesarean (TOLAC). Study Design A secondary analysis of the Maternal-Fetal Medicine Units Network cesarean section registry was conducted. Analysis was by first attempted mode of delivery. Results A total of 1,837 met inclusion criteria. Subjects in the operative vaginal groups (OVDs) were more likely to have a prior vaginal delivery (vacuum 34.2%; forceps 34.3%) than the repeat cesarean delivery (RCD) group (22.6%; p < 0.0001). Most OVD attempts were successful (forceps 90.4%; vacuum 92.6%). Neonatal morbidity was not different (12.1% forceps vs. 14.6% vacuum; 14.8% RCD). Maternal morbidity was highest among forceps deliveries (32.3 vs. 24.3% vacuum; 22.0% RCD, p = 0.0001). RCD was associated with surgical injury (2.7 vs. 0.7% forceps; 0% vacuum; p < 0.0001), endometritis (8.4 vs. 3.2% forceps, 1.2% vacuum; p < 0.0001), and wound complications (1.9 vs. 0.4% forceps; 0.3% vacuum; p = 0.006). OVD was associated with anal sphincter laceration (22.7% forceps, 15.5% vacuum; 0% RCD; p = 0.01). Conclusion The success rate of OVD is high in TOLAC with similar outcomes to RCD. Maternal composite outcomes were highest with forceps-assisted vaginal deliveries. However, considering overall morbidity, OVD in the second stage of labor in TOLAC is a reasonable, safe option in selected cases.

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