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PubMed1984

Boys born by forceps and vacuum extraction examined at 18 years of age.

An 18-year follow-up study was made of 62 males delivered by forceps and 38 by vacuum extraction in 1962-63. The obstetrical data are compared with the medical and psychological military draft board examinations. The mortality and morbidity rates were not significantly different from those of the total cohort of Norwegian conscripts, either in the forceps or in the vacuum group. Rotation of the fetal head with Kielland's forceps in midcavity extractions did not adversely affect the late results. A significantly elevated mean intelligence score was found in the forceps group, while the vacuum group did not differ from the national average.

Adolescent↗
PubMed2001

The risk of stress incontinence 5 years after first delivery.

OBJECTIVES: We aimed to evaluate the impact of a first pregnancy and delivery on the prevalence of stress incontinence 5 years afterward. STUDY DESIGN: This longitudinal cohort study included 278 women who were questioned after their first delivery and again 5 years later. RESULTS: The prevalence of stress incontinence 5 years after a first delivery was 30%, and the 5-year incidence was 19%. The risk of stress incontinence 5 years after a first delivery was related to the onset and duration of symptoms after the first pregnancy and delivery in a "dose-response-like" manner. The use of vacuum extraction or episiotomy during the first delivery increased the risk. CONCLUSIONS: First pregnancy and delivery may result in stress incontinence 5 years later. Women with incontinence 3 months after a first delivery have a particularly high risk of long-lasting symptoms. Obstetric risk factors are vacuum extraction and episiotomy.

Adolescent↗
PubMed1976

[Connexions between instrumental delivery and cerebral damage in the infant (author's transl)].

An interdepartmental investigation was carried out on the incidence of brain injury, especially so-called minimal brain injury, after instrumental delivery of infants by means of forceps or vacuum extractor. There is no statistically-significant difference in the incidence of brain injury in infants delivered by means of forceps as compared with the vacuum extractor; there is, however, a significant increase in incidence of brain injury in infants following instrument-aided delivery as opposed to spontaneous delivery. A thorough explanation of the methods is given and the results are discussed.

Attention Deficit Disorder with Hyperactivity↗
PubMed1975

[Problems and results of skull x-ray following vacuum extraction (author's transl)].

The vacuum extraction supplies the forceps nearly complete on the IInd Department of obstetrics and gynecology Vienna in the last years. Skull X-ray of 104 newborns following vacuum extraction and of 101 spontaneous delivered newborns are examined on the incidence of fractures, fracture-fissures, elevations and widening of skull sutures. Early pathological findings are rigid criteria for the possible danger due to a method of operative delivery but we have no typical late damage after vacuum extraction or forceps delivery, we don't find in spontaneous born children too.

Birth Injuries↗