TY - JOUR
T1 - Vacuum application through a nonfully dilated cervix
T2 - A viable option
AU - Sadan, Oscar
AU - Ginath, Shimon
AU - Gomel, Andrei
AU - Lurie, Samuel
AU - Rotmensch, Sigi
AU - Golan, Abraham
AU - Boaz, Mona
AU - Glezerman, Marek
N1 - Funding Information:
The authors wish to thank Dr. Josef Prchal, Division of Hematology and Oncology for access to his gas chromatograph for studies involving splitless injection and Mr. Fred Fish for technical assistance_ This study was supported by grant number CA-13148 from the National Cancer Institute. S.B. was a FelIow of the National Library of Medicine Programg rantno. 5Tl5LMO7015. D.G.P_ was an Arthritis Foundation Research Fellow.
PY - 2003/10
Y1 - 2003/10
N2 - The aim of this cross-sectional study was to assess the feasibility of vacuum delivery through a nonfully dilated cervix. The study group consisted of 39 women with vacuum deliveries through a nonfully dilated cervix larger than 9 cm and station of the head at S or more +2 cm. These were compared to a control group of 215 vacuum deliveries at a fully dilated cervix and 46 women who underwent cesarean section at a nonfully dilated cervix larger than 9 cm. The main indication for vacuum extraction in the study group was fetal distress and in the control groups prolonged 2nd stage, dysfunctional labor and fetal distress. Maternal and neonatal morbidity was low and not different between the groups. Neonatal well being, evaluated by cord pH and 5-min Apgar score, was not different. Based on predefined criteria, vacuum extraction through a nonfully dilated cervix is a viable alternative to emergency cesarean section and is apparently not associated with higher maternal or infant morbidity.
AB - The aim of this cross-sectional study was to assess the feasibility of vacuum delivery through a nonfully dilated cervix. The study group consisted of 39 women with vacuum deliveries through a nonfully dilated cervix larger than 9 cm and station of the head at S or more +2 cm. These were compared to a control group of 215 vacuum deliveries at a fully dilated cervix and 46 women who underwent cesarean section at a nonfully dilated cervix larger than 9 cm. The main indication for vacuum extraction in the study group was fetal distress and in the control groups prolonged 2nd stage, dysfunctional labor and fetal distress. Maternal and neonatal morbidity was low and not different between the groups. Neonatal well being, evaluated by cord pH and 5-min Apgar score, was not different. Based on predefined criteria, vacuum extraction through a nonfully dilated cervix is a viable alternative to emergency cesarean section and is apparently not associated with higher maternal or infant morbidity.
KW - Cervix
KW - Dilatation
KW - Vacuum
UR - https://www.scopus.com/pages/publications/0141644305
U2 - 10.1007/s00404-002-0372-x
DO - 10.1007/s00404-002-0372-x
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C2 - 12764622
AN - SCOPUS:0141644305
SN - 0932-0067
VL - 268
SP - 281
EP - 283
JO - Archives of Gynecology and Obstetrics
JF - Archives of Gynecology and Obstetrics
IS - 4
ER -