Document Detail

Comparison of maternal and fetal effects of vacuum extraction with forceps or cesarean deliveries.
MedLine Citation:
PMID:  7219906     Owner:  NLM     Status:  MEDLINE    
Results of 90 vacuum extraction (VE) deliveries were compared with effects on the mother and fetus of forceps delivery or cesarean section. Forceps delivery increased the incidence of birth canal trauma threefold and the incidence of anemia sevenfold (18% for VE versus 48% for forceps delivery, and 4 versus 30%, respectively) (P less than or equal to .001). When cesarean section was the alternative operation, the incidence of blood loss was significantly increased (72%, versus 18% with VE), as was febrile morbidity (48%, versus 6% with VE) (P less than or equal to .001). Hospitalization time and costs in the present and future for cesarean section deliveries are markedly higher than for VE. Maternal requirements for anesthesia are markedly reduced with VE because of the gentleness of the operation. A failed trial of VE in 7 patients did not constitute any greater hazard to the mother than initial management by cesarean section. However, babies born by cesarean section after failed VE had a slightly lower Apgar score at 1 minute (P less than or equal to .05) but not at 5 minutes, as compared with babies born by cesarean section attempted initially. Otherwise, Apgar scores of infants born by VE did not differ from those of infants delivered by forceps or cesarean section. Infants delivered by VE had a higher incidence of transient cosmetic deformations, including "chignon" and cephalhematoma, whereas infants delivered by forceps had forceps marks and facial lacerations more frequently. Neither perinatal mortality nor serious traumatic complications were attributable to VE, due to its judicious use for a limited time of approximately 15 minutes.
J B Greis; J Bieniarz; A Scommegna
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  57     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1981 May 
Date Detail:
Created Date:  1981-06-23     Completed Date:  1981-06-23     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  571-7     Citation Subset:  AIM; IM    
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MeSH Terms
Anesthesia, Obstetrical
Apgar Score
Birth Injuries / etiology*
Cesarean Section* / economics
Extraction, Obstetrical*
Infant, Newborn
Infant, Newborn, Diseases / etiology
Length of Stay
Obstetrical Forceps*
Puerperal Infection / etiology
Uterus / injuries*
Vacuum Extraction, Obstetrical*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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