Document Detail

Maternal and neonatal morbidity in instrumental deliveries with the Kobayashi vacuum extractor and low forceps.
MedLine Citation:
PMID:  3439447     Owner:  NLM     Status:  MEDLINE    
Risks to the mother and newborn associated with the use of the Kobayashi Silastic vacuum extractor (n = 293) were compared with those associated with the use of low forceps (n = 468) in a retrospective chart review. Third or fourth degree perineal tears and vaginal and cervical lacerations were all observed less frequently among women delivered with the vacuum extractor. The need for post-partum bladder catheterization was also reduced for these women. Babies born by the means of the vacuum extractor ran an increased risk of cephalhematoma and neonatal jaundice. No difference in major neonatal morbidity was observed between the two groups. The Kobayashi instrument appears to be a useful alternative to forceps in low vaginal instrumental deliveries.
L Meyer; J Mailloux; S Marcoux; P Blanchet; F Meyer
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  66     ISSN:  0001-6349     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  1987  
Date Detail:
Created Date:  1988-04-06     Completed Date:  1988-04-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  643-7     Citation Subset:  IM    
Department of Social and Preventive Medicine, Laval University, Quebec City, Quebec, Canada.
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MeSH Terms
Birth Injuries / etiology
Cervix Uteri / injuries
Extraction, Obstetrical / adverse effects*
Infant, Newborn
Obstetrical Forceps / adverse effects*
Perineum / injuries
Retrospective Studies
Risk Factors
Uterus / injuries
Vacuum Extraction, Obstetrical / adverse effects*,  instrumentation

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