Vacuum-assisted delivery more likely to fail than forceps

Article

Cases of operative vaginal delivery that use vacuum extraction are more likely to fail than those using forceps, and in most instances of failed vacuum extraction, the practitioner then attempts a forceps delivery, according to research presented in the September issue of the American Journal of Obstetrics and Gynecology.

Cases of operative vaginal delivery that use vacuum extraction are more likely to fail than those using forceps, and in most instances of failed vacuum extraction, the practitioner then attempts a forceps delivery, according to research presented in the September issue of the American Journal of Obstetrics and Gynecology.

Avi Ben-Haroush, MD, of the Sackler Faculty of Medicine at Tel Aviv University in Israel, and colleagues conducted a retrospective cohort study of 5,120 women undergoing an attempted operative vaginal delivery at a facility over a 13-year period. Eighty-four percent of these were vacuum extraction, and the remainder were forceps delivery.

In 8.6% of cases, the procedure failed; failure occurred with vacuum extraction 10% of the time, compared with 1.3% with forceps. When vacuum extraction didn't work, practitioners typically attempted the delivery with forceps, which then failed in 3.5% of the cases. Aside from using forceps, other factors associated with a lower risk of failure were the use of epidural (OR, 0.4) or IV opiate analgesia (OR, 0.2). Factors associated with higher risk of failure were persistent occiput posterior position (OR, 2.2) and birthweight exceeding 4 kg (OR, 2.8).

"Operative techniques are associated with a greater tendency for birth injury than spontaneous delivery," the authors write. "Fetal weight and head position should be evaluated carefully before operative vaginal delivery, and the use of analgesia should be encouraged."

Ben-Haroush A, Melamed N, Kaplan B, et al. Predictors of failed operative vaginal delivery: a single-center experience. Am J Obstet Gynecol. 2007;197:308.e1-308.e5.

Related Videos
Why doxycycline PEP lacks clinical data for STI prevention in women
The importance of nipocalimab’s FTD against FNAIT | Image Credit:  linkedin.com
Enhancing cervical cancer management with dual stain | Image Credit: linkedin.com
Fertility treatment challenges for Muslim women during fasting holidays | Image Credit: rmanetwork.com
Understanding the impact of STIs on young adults | Image Credit: providers.ucsd.edu.
CDC estimates of maternal mortality found overestimated | Image Credit: rwjms.rutgers.edu.
Study unveils maternal mortality tracking trends | Image Credit: obhg.com
How Harmonia Healthcare is revolutionizing hyperemesis gravidarum care | Image Credit: hyperemesis.org
Unveiling gender disparities in medicine | Image Credit:  findcare.ahn.org.
Exploring the intersection of heart health and women's health | Image Credit: cedars-sinai.org
Related Content
© 2024 MJH Life Sciences

All rights reserved.