What happens when vacuum extraction fails?
Objective To compare maternal and neonatal outcomes of forceps delivery or cesarean section (CS) following failed vacuum extraction. Methods A retrospective cohort study of all women who underwent forceps delivery and/or CS after failed vacuum extraction in 1993–2006 was conducted. Cases were identi...
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| Veröffentlicht in: | Archives of gynecology and obstetrics 2009-08, Vol.280 (2), p.243-248 |
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| container_title | Archives of gynecology and obstetrics |
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| creator | Melamed, Nir Yogev, Yariv Stainmetz, Shirley Ben-Haroush, Avi |
| description | Objective
To compare maternal and neonatal outcomes of forceps delivery or cesarean section (CS) following failed vacuum extraction.
Methods
A retrospective cohort study of all women who underwent forceps delivery and/or CS after failed vacuum extraction in 1993–2006 was conducted. Cases were identified by searching the computerized delivery discharge database. All files were reviewed and those who underwent CS were compared to those who underwent forceps delivery.
Results
Compared to CS (
n
= 112), forceps delivery (
n
= 328) was associated with a significantly higher risk of adverse composite maternal outcome (
P
= 0.001), third/fourth-degree perineal tears (
P
= 0.005), prolonged hospitalization (
P
= 0.03), and cephalohematoma (
P
= 0.04). In the forceps group, the risk was increased by nulliparity, occipito-posterior position, S + 1 station, and pre-pregnancy maternal obesity; in the cesarean group, higher maternal risk was associated with delivery in the evening/night and S + 2 or lower. In cases of nonreassuring fetal heart rate, composite neonatal outcome was worse after CS.
Conclusion
Forceps delivery after failed vacuum extraction may be associated with greater short-term maternal morbidity than CS, although it might be associated with better perinatal outcome in cases of nonreassuring fetal heart rate. |
| doi_str_mv | 10.1007/s00404-008-0902-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67415495</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2261894585</sourcerecordid><originalsourceid>FETCH-LOGICAL-c370t-e8d6e283bad441eb448045a7bad08d08210ffab2bee5e74be957b14b372d34663</originalsourceid><addsrcrecordid>eNp1kNtKxDAQhoMo7rr6AN5IQfBCqE7SNEmvRBZPsOCN4mVI26nbpSeT1sPbm9KFBUEITMJ880_4CDmlcEUB5LUD4MBDABVCAixke2ROecRCkJTukzkk4x2EnJEj5zYAlCklDsmMJpQKyficXL6tTR-sTddh44KvNTbBp8mGoQ7wu7cm68u2CQpTVu7mmBwUpnJ4sq0L8np_97J8DFfPD0_L21WYRRL6EFUukKkoNTnnFFPOFfDYSP8G5Q-jUBQmZSlijJKnmMQypTyNJMsjLkS0IBdTbmfbjwFdr-vSZVhVpsF2cFpITmOexB48_wNu2sE2_m-aMUFVwmM1UnSiMts6Z7HQnS1rY380BT1q1JNG7TXqUaNmfuZsmzykNea7ia03D7AJcL7VvKPdrf4_9ReU3Xsh</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261894585</pqid></control><display><type>article</type><title>What happens when vacuum extraction fails?</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Melamed, Nir ; Yogev, Yariv ; Stainmetz, Shirley ; Ben-Haroush, Avi</creator><creatorcontrib>Melamed, Nir ; Yogev, Yariv ; Stainmetz, Shirley ; Ben-Haroush, Avi</creatorcontrib><description>Objective
To compare maternal and neonatal outcomes of forceps delivery or cesarean section (CS) following failed vacuum extraction.
Methods
A retrospective cohort study of all women who underwent forceps delivery and/or CS after failed vacuum extraction in 1993–2006 was conducted. Cases were identified by searching the computerized delivery discharge database. All files were reviewed and those who underwent CS were compared to those who underwent forceps delivery.
Results
Compared to CS (
n
= 112), forceps delivery (
n
= 328) was associated with a significantly higher risk of adverse composite maternal outcome (
P
= 0.001), third/fourth-degree perineal tears (
P
= 0.005), prolonged hospitalization (
P
= 0.03), and cephalohematoma (
P
= 0.04). In the forceps group, the risk was increased by nulliparity, occipito-posterior position, S + 1 station, and pre-pregnancy maternal obesity; in the cesarean group, higher maternal risk was associated with delivery in the evening/night and S + 2 or lower. In cases of nonreassuring fetal heart rate, composite neonatal outcome was worse after CS.
Conclusion
Forceps delivery after failed vacuum extraction may be associated with greater short-term maternal morbidity than CS, although it might be associated with better perinatal outcome in cases of nonreassuring fetal heart rate.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-008-0902-2</identifier><identifier>PMID: 19116724</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Birth Injuries - etiology ; Cesarean Section - adverse effects ; Cesarean Section - statistics & numerical data ; Childbirth & labor ; Cohort Studies ; Endocrinology ; Female ; Gynecology ; Health risk assessment ; Heart rate ; Human Genetics ; Humans ; Infant, Newborn ; Medicine ; Medicine & Public Health ; Obstetrics/Perinatology/Midwifery ; Original Article ; Pregnancy ; Retrospective Studies ; Treatment Failure ; Vacuum Extraction, Obstetrical - adverse effects ; Vacuum Extraction, Obstetrical - statistics & numerical data ; Young Adult</subject><ispartof>Archives of gynecology and obstetrics, 2009-08, Vol.280 (2), p.243-248</ispartof><rights>Springer-Verlag 2008</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2008). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-e8d6e283bad441eb448045a7bad08d08210ffab2bee5e74be957b14b372d34663</citedby><cites>FETCH-LOGICAL-c370t-e8d6e283bad441eb448045a7bad08d08210ffab2bee5e74be957b14b372d34663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-008-0902-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-008-0902-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19116724$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Melamed, Nir</creatorcontrib><creatorcontrib>Yogev, Yariv</creatorcontrib><creatorcontrib>Stainmetz, Shirley</creatorcontrib><creatorcontrib>Ben-Haroush, Avi</creatorcontrib><title>What happens when vacuum extraction fails?</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Objective
To compare maternal and neonatal outcomes of forceps delivery or cesarean section (CS) following failed vacuum extraction.
Methods
A retrospective cohort study of all women who underwent forceps delivery and/or CS after failed vacuum extraction in 1993–2006 was conducted. Cases were identified by searching the computerized delivery discharge database. All files were reviewed and those who underwent CS were compared to those who underwent forceps delivery.
Results
Compared to CS (
n
= 112), forceps delivery (
n
= 328) was associated with a significantly higher risk of adverse composite maternal outcome (
P
= 0.001), third/fourth-degree perineal tears (
P
= 0.005), prolonged hospitalization (
P
= 0.03), and cephalohematoma (
P
= 0.04). In the forceps group, the risk was increased by nulliparity, occipito-posterior position, S + 1 station, and pre-pregnancy maternal obesity; in the cesarean group, higher maternal risk was associated with delivery in the evening/night and S + 2 or lower. In cases of nonreassuring fetal heart rate, composite neonatal outcome was worse after CS.
Conclusion
Forceps delivery after failed vacuum extraction may be associated with greater short-term maternal morbidity than CS, although it might be associated with better perinatal outcome in cases of nonreassuring fetal heart rate.</description><subject>Adult</subject><subject>Birth Injuries - etiology</subject><subject>Cesarean Section - adverse effects</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Childbirth & labor</subject><subject>Cohort Studies</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Gynecology</subject><subject>Health risk assessment</subject><subject>Heart rate</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Original Article</subject><subject>Pregnancy</subject><subject>Retrospective Studies</subject><subject>Treatment Failure</subject><subject>Vacuum Extraction, Obstetrical - adverse effects</subject><subject>Vacuum Extraction, Obstetrical - statistics & numerical data</subject><subject>Young Adult</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kNtKxDAQhoMo7rr6AN5IQfBCqE7SNEmvRBZPsOCN4mVI26nbpSeT1sPbm9KFBUEITMJ880_4CDmlcEUB5LUD4MBDABVCAixke2ROecRCkJTukzkk4x2EnJEj5zYAlCklDsmMJpQKyficXL6tTR-sTddh44KvNTbBp8mGoQ7wu7cm68u2CQpTVu7mmBwUpnJ4sq0L8np_97J8DFfPD0_L21WYRRL6EFUukKkoNTnnFFPOFfDYSP8G5Q-jUBQmZSlijJKnmMQypTyNJMsjLkS0IBdTbmfbjwFdr-vSZVhVpsF2cFpITmOexB48_wNu2sE2_m-aMUFVwmM1UnSiMts6Z7HQnS1rY380BT1q1JNG7TXqUaNmfuZsmzykNea7ia03D7AJcL7VvKPdrf4_9ReU3Xsh</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Melamed, Nir</creator><creator>Yogev, Yariv</creator><creator>Stainmetz, Shirley</creator><creator>Ben-Haroush, Avi</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20090801</creationdate><title>What happens when vacuum extraction fails?</title><author>Melamed, Nir ; Yogev, Yariv ; Stainmetz, Shirley ; Ben-Haroush, Avi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-e8d6e283bad441eb448045a7bad08d08210ffab2bee5e74be957b14b372d34663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Birth Injuries - etiology</topic><topic>Cesarean Section - adverse effects</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Childbirth & labor</topic><topic>Cohort Studies</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Gynecology</topic><topic>Health risk assessment</topic><topic>Heart rate</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Original Article</topic><topic>Pregnancy</topic><topic>Retrospective Studies</topic><topic>Treatment Failure</topic><topic>Vacuum Extraction, Obstetrical - adverse effects</topic><topic>Vacuum Extraction, Obstetrical - statistics & numerical data</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Melamed, Nir</creatorcontrib><creatorcontrib>Yogev, Yariv</creatorcontrib><creatorcontrib>Stainmetz, Shirley</creatorcontrib><creatorcontrib>Ben-Haroush, Avi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Melamed, Nir</au><au>Yogev, Yariv</au><au>Stainmetz, Shirley</au><au>Ben-Haroush, Avi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>What happens when vacuum extraction fails?</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>280</volume><issue>2</issue><spage>243</spage><epage>248</epage><pages>243-248</pages><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>Objective
To compare maternal and neonatal outcomes of forceps delivery or cesarean section (CS) following failed vacuum extraction.
Methods
A retrospective cohort study of all women who underwent forceps delivery and/or CS after failed vacuum extraction in 1993–2006 was conducted. Cases were identified by searching the computerized delivery discharge database. All files were reviewed and those who underwent CS were compared to those who underwent forceps delivery.
Results
Compared to CS (
n
= 112), forceps delivery (
n
= 328) was associated with a significantly higher risk of adverse composite maternal outcome (
P
= 0.001), third/fourth-degree perineal tears (
P
= 0.005), prolonged hospitalization (
P
= 0.03), and cephalohematoma (
P
= 0.04). In the forceps group, the risk was increased by nulliparity, occipito-posterior position, S + 1 station, and pre-pregnancy maternal obesity; in the cesarean group, higher maternal risk was associated with delivery in the evening/night and S + 2 or lower. In cases of nonreassuring fetal heart rate, composite neonatal outcome was worse after CS.
Conclusion
Forceps delivery after failed vacuum extraction may be associated with greater short-term maternal morbidity than CS, although it might be associated with better perinatal outcome in cases of nonreassuring fetal heart rate.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>19116724</pmid><doi>10.1007/s00404-008-0902-2</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0932-0067 |
| ispartof | Archives of gynecology and obstetrics, 2009-08, Vol.280 (2), p.243-248 |
| issn | 0932-0067 1432-0711 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67415495 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Birth Injuries - etiology Cesarean Section - adverse effects Cesarean Section - statistics & numerical data Childbirth & labor Cohort Studies Endocrinology Female Gynecology Health risk assessment Heart rate Human Genetics Humans Infant, Newborn Medicine Medicine & Public Health Obstetrics/Perinatology/Midwifery Original Article Pregnancy Retrospective Studies Treatment Failure Vacuum Extraction, Obstetrical - adverse effects Vacuum Extraction, Obstetrical - statistics & numerical data Young Adult |
| title | What happens when vacuum extraction fails? |
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