TY - JOUR
T1 - What to do after a failed attempt of vacuum delivery?
AU - Sadan, Oscar
AU - Ginath, Shimon
AU - Gomel, Andrei
AU - Abramov, Dora
AU - Rotmensch, Sigi
AU - Boaz, Mona
AU - Glezerman, Marek
PY - 2003/4/25
Y1 - 2003/4/25
N2 - Objectives: To determine whether there is a difference in maternal and neonatal outcomes if a sequential operative vaginal or cesarean delivery follows failed vacuum delivery. Study design: A cross sectional study. We have analyzed maternal and neonatal outcomes of 215 vacuum extractions (group 1), 106 forceps assisted deliveries (group 2), 28 deliveries in which failed vacuum extraction were followed by forceps delivery (group 3) and 22 deliveries in which failed vacuum extraction were followed by cesarean delivery (group 4). Results: Compared to other groups, patients in group 4 had significantly more post partum anemia, meconium stained amniotic fluid and hospital stay (both maternal and neonatal) as well as lower pH. Apgar scores were similar in groups 3 and 4. Incidence of respiratory distress syndrome, cephalhematoma and jaundice were similar in neonates of all groups. Conclusions: If an attempted vacuum delivery has failed, the risk of adverse neonatal outcome is increased with either subsequent forceps or cesarean delivery. It should remain in the judgment of the attending obstetrician to choose the method most suitable under the given circumstances.
AB - Objectives: To determine whether there is a difference in maternal and neonatal outcomes if a sequential operative vaginal or cesarean delivery follows failed vacuum delivery. Study design: A cross sectional study. We have analyzed maternal and neonatal outcomes of 215 vacuum extractions (group 1), 106 forceps assisted deliveries (group 2), 28 deliveries in which failed vacuum extraction were followed by forceps delivery (group 3) and 22 deliveries in which failed vacuum extraction were followed by cesarean delivery (group 4). Results: Compared to other groups, patients in group 4 had significantly more post partum anemia, meconium stained amniotic fluid and hospital stay (both maternal and neonatal) as well as lower pH. Apgar scores were similar in groups 3 and 4. Incidence of respiratory distress syndrome, cephalhematoma and jaundice were similar in neonates of all groups. Conclusions: If an attempted vacuum delivery has failed, the risk of adverse neonatal outcome is increased with either subsequent forceps or cesarean delivery. It should remain in the judgment of the attending obstetrician to choose the method most suitable under the given circumstances.
KW - Failed vacuum/forceps delivery
KW - Forceps
KW - Sequential/combined delivery
KW - Vacuum
UR - http://www.scopus.com/inward/record.url?scp=0037466223&partnerID=8YFLogxK
U2 - 10.1016/S0301-2115(02)00344-5
DO - 10.1016/S0301-2115(02)00344-5
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C2 - 12648860
AN - SCOPUS:0037466223
SN - 0301-2115
VL - 107
SP - 151
EP - 155
JO - European Journal of Obstetrics, Gynecology and Reproductive Biology
JF - European Journal of Obstetrics, Gynecology and Reproductive Biology
IS - 2
ER -