Document Detail


Instrumental delivery of the fetal head at the time of elective repeat cesarean: a randomized pilot study.
MedLine Citation:
PMID:  11110345     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We sought to ascertain whether the routine use of instruments, forceps or vacuum, at the time of elective repeat cesarean delivery, permits a delivery that is as safe for mother and infant and as easy for mother and physician as traditional manual delivery of the fetal head. In this prospective study 44 women undergoing elective repeat cesarean were randomized to deliver by Vacuum (V), Forceps (F), or by Manual (M) means. Groups were compared with regard to demographic variables and maternal and neonatal outcomes. Deliveries were timed from entry into the uterus until full delivery of the infant. Maternal pain scores were assessed using a 10-cm visual analog scale. There were no differences in demographic variables except that the M group had fewer women with up to two cesareans. A large percentage of women in each group were delivered with the randomized instrument. Use of the V did not demonstrate fewer extensions of the uterine incision or lesser amounts of blood loss as measured by serial hemoglobin determinations. There was a trend for the F group to require a longer period of time for delivery (p = 0.061). Women in the V group reported significantly lower pain scores (p = 0.015). There were no serious neonatal injuries. The routine use of instruments at the time of elective repeat cesarean delivery appears safe and effective.
Authors:
J A Bofill; S G Lencki; S Barhan; L C Ezenagu
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Publication Detail:
Type:  Case Reports; Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  American journal of perinatology     Volume:  17     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  2000  
Date Detail:
Created Date:  2001-02-26     Completed Date:  2001-03-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  265-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics & Gynecology, University of Mississippi Medical Center, Jackson, Mississippi 39216-4505, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Apgar Score
Cesarean Section, Repeat / methods*
Female
Fetal Blood / chemistry
Humans
Hydrogen-Ion Concentration
Infant, Newborn
Obstetrical Forceps
Pilot Projects
Pregnancy
Prospective Studies
Surgical Procedures, Elective
Vacuum Extraction, Obstetrical

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


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