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Neonatal and maternal complications among pregnant women delivered by vacuum extraction or forceps extraction.

A historical cohort study was used to analyse the maternal and neonatal complications among pregnant women delivered by vacuum or forceps extraction at Rajavithi Hospital, 1994. The maternal complications (third and fourth degree of perineal tear and postpartum hemorrhage) were statistically significant more often in the forceps group than in the vacuum extraction group. But fetal complications (neonatal hyperbilirubinemia, low Apgar scores (< 7) at 1 and 5 minutes and the transfer to NICU) were statistically significant more often in the vacuum extraction group than in the forceps group.

Adolescent↗

Vacuum extraction.

Vacuum extraction rivals forceps delivery in efficacy, is less traumatic to the mother and is as safe or safer than forceps delivery for the infant. Soft plastic cup extractors minimize the technical, maternal and fetal problems of vacuum extraction and have made this method of delivery ideal for the family physician who practices obstetrics.

Equipment Design↗

Comparison of midforceps, low-forceps, and spontaneous vaginal deliveries.

A prospective, six-month study compared various maternal and neonatal parameters among spontaneous vaginal (n = 47), low-forceps (n = 21), and midforceps (n = 15) deliveries. All three groups had good neonatal and maternal outcomes. The only significant differences (P greater than .01) were the one-minute Apgar scores between the low-forceps and midforceps groups and parity between the spontaneous vaginal and low-forceps deliveries. The findings did not reveal poorer neonatal outcomes or excessive maternal morbidity, thus supporting the continued use of forceps in properly selected patients.

Adolescent↗

Vacuum extraction and forceps delivery in a district hospital.

We compared 302 vacuum extractions and 205 forceps deliveries at Fairfield District Hospital, Sydney, over a period of 30 months. Age, parity, gestational age, length of labour and birth-weight were not significantly different between the 2 groups. Significantly less analgesia was required for mothers whose babies were delivered by vacuum extraction compared with mothers with forceps deliveries (p less than 0.01). Average blood loss was slightly higher during forceps delivery as compared with vacuum extraction and there was a significantly higher incidence of postpartum haemorrhage after forceps delivery (p less than 0.05). More babies were jaundiced after vacuum extraction and more required phototherapy, but the differences were slight and were not statistically significant. We conclude that vacuum extraction is a useful and safe alternative to forceps delivery in a district hospital setting.

Adolescent↗

[Trial forceps].

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Birth Injuries↗