Vacuum-assisted Vaginal Delivery

Overview

Journal Rev Obstet Gynecol

Specialty Gynecology & Obstetrics

Date 2009 Apr 29

PMID 19399290

Citations 25

Authors

Unzila A Ali

Errol R Norwitz

Affiliations

Soon will be listed here.

Abstract

Approximately 5% (1 in 20) of all deliveries in the United States are operative vaginal deliveries. The past 20 years have seen a progressive shift away from the use of forceps in favor of the vacuum extractor as the instrument of choice. This article reviews in detail the indications, contraindications, patient selection criteria, choice of instrument, and technique for vacuum-assisted vaginal delivery. The use of vacuum extraction at the time of cesarean delivery will also be discussed. With vacuum extraction becoming increasingly popular, it is important that obstetric care providers are aware of the maternal and neonatal risks associated with such deliveries and of the options available to effect a safe and expedient delivery.

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References

Svenningsen L . Birth progression and traction forces developed under vacuum extraction after slow or rapid application of suction. Eur J Obstet Gynecol Reprod Biol. 1987; 26(2):105-12. DOI: 10.1016/0028-2243(87)90044-x. View

Cohen W . Influence of the duration of second stage labor on perinatal outcome and puerperal morbidity. Obstet Gynecol. 1977; 49(3):266-9. View

BASHORE R, Phillips Jr W, Brinkman 3rd C . A comparison of the morbidity of midforceps and cesarean delivery. Am J Obstet Gynecol. 1990; 162(6):1428-34; discussion 1434-5. DOI: 10.1016/0002-9378(90)90902-j. View

Roberts C, Algert C, Cameron C, Torvaldsen S . A meta-analysis of upright positions in the second stage to reduce instrumental deliveries in women with epidural analgesia. Acta Obstet Gynecol Scand. 2005; 84(8):794-8. DOI: 10.1111/j.0001-6349.2005.00786.x. View

Sjostedt J . The vacuum extractor and forceps in obstetrics. A clinical study. Acta Obstet Gynecol Scand. 1967; 46(S10):1-208. DOI: 10.3109/00016346709157064. View

Muise K, Duchon M, Brown R . Effect of angular traction on the performance of modern vacuum extractors. Am J Obstet Gynecol. 1992; 167(4 Pt 1):1125-9. DOI: 10.1016/s0002-9378(12)80053-6. View

Johanson R, Rice C, Doyle M, Arthur J, Anyanwu L, Ibrahim J . A randomised prospective study comparing the new vacuum extractor policy with forceps delivery. Br J Obstet Gynaecol. 1993; 100(6):524-30. DOI: 10.1111/j.1471-0528.1993.tb15301.x. View

Chestnut D, Vandewalker G, Owen C, Bates J, Choi W . The influence of continuous epidural bupivacaine analgesia on the second stage of labor and method of delivery in nulliparous women. Anesthesiology. 1987; 66(6):774-80. DOI: 10.1097/00000542-198706000-00011. View

Damron D, Capeless E . Operative vaginal delivery: a comparison of forceps and vacuum for success rate and risk of rectal sphincter injury. Am J Obstet Gynecol. 2004; 191(3):907-10. DOI: 10.1016/j.ajog.2004.05.075. View

10.

Dell D, Sightler S, PLAUCHE W . Soft cup vacuum extraction: a comparison of outlet delivery. Obstet Gynecol. 1985; 66(5):624-8. View

11.

Hankins G, Rowe T . Operative vaginal delivery--year 2000. Am J Obstet Gynecol. 1996; 175(2):275-82. DOI: 10.1016/s0002-9378(96)70135-7. View

12.

Martin J, Hamilton B, Sutton P, Ventura S, Menacker F, Kirmeyer S . Births: final data for 2005. Natl Vital Stat Rep. 2008; 56(6):1-103. View

13.

JOHANSON R, Menon V . Soft versus rigid vacuum extractor cups for assisted vaginal delivery. Cochrane Database Syst Rev. 2000; (2):CD000446. DOI: 10.1002/14651858.CD000446. View

14.

Ezenagu L, Kakaria R, Bofill J . Sequential use of instruments at operative vaginal delivery: is it safe?. Am J Obstet Gynecol. 1999; 180(6 Pt 1):1446-9. DOI: 10.1016/s0002-9378(99)70034-7. View

15.

Smit-Wu M, Moonen-Delarue D, Benders M, Brussel W, Zondervan H, Brus F . Onset of vacuum-related complaints in neonates. Eur J Pediatr. 2006; 165(6):374-9. DOI: 10.1007/s00431-005-0054-3. View

16.

Robertson P, Laros Jr R, Zhao R . Neonatal and maternal outcome in low-pelvic and midpelvic operative deliveries. Am J Obstet Gynecol. 1990; 162(6):1436-42; discussion 1442-4. DOI: 10.1016/0002-9378(90)90903-k. View

17.

Hodnett E, Gates S, Hofmeyr G, Sakala C . Continuous support for women during childbirth. Cochrane Database Syst Rev. 2003; (3):CD003766. DOI: 10.1002/14651858.CD003766. View

18.

Hayman R, Gilby J, Arulkumaran S . Clinical evaluation of a "hand pump" vacuum delivery device. Obstet Gynecol. 2002; 100(6):1190-5. DOI: 10.1016/s0029-7844(02)02384-0. View

19.

Gei A, Belfort M . Forceps-assisted vaginal delivery. Obstet Gynecol Clin North Am. 1999; 26(2):345-70. DOI: 10.1016/s0889-8545(05)70079-6. View

20.

Robinson J, Norwitz E, Cohen A, McElrath T, Lieberman E . Episiotomy, operative vaginal delivery, and significant perinatal trauma in nulliparous women. Am J Obstet Gynecol. 1999; 181(5 Pt 1):1180-4. DOI: 10.1016/s0002-9378(99)70104-3. View