| Instrumental delivery of the fetal head at the time of elective repeat cesarean: a randomized pilot study. | |
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MedLine Citation:
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PMID: 11110345 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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J A Bofill; S G Lencki; S Barhan; L C Ezenagu |
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Publication Detail:
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Type: Case Reports; Clinical Trial; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: American journal of perinatology Volume: 17 ISSN: 0735-1631 ISO Abbreviation: Am J Perinatol Publication Date: 2000 |
Date Detail:
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Created Date: 2001-02-26 Completed Date: 2001-03-15 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8405212 Medline TA: Am J Perinatol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 265-9 Citation Subset: IM |
Affiliation:
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Department of Obstetrics & Gynecology, University of Mississippi Medical Center, Jackson, Mississippi 39216-4505, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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 |
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