What to do after a failed attempt of vacuum delivery?

Oscar Sadan, Shimon Ginath, Andrei Gomel, Dora Abramov, Sigi Rotmensch, Mona Boaz, Marek Glezerman

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)151-155
Number of pages5
JournalEuropean Journal of Obstetrics, Gynecology and Reproductive Biology
Volume107
Issue number2
DOIs
StatePublished - 25 Apr 2003

Keywords

  • Failed vacuum/forceps delivery
  • Forceps
  • Sequential/combined delivery
  • Vacuum

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