A Prospective Randomized Study Comparing Maternal and Fetal Effects of Forceps Delivery and Vacuum Extraction

Overview

Journal J Obstet Gynaecol India

Specialty Gynecology & Obstetrics

Date 2014 Jan 17

PMID 24431617

Citations 1

Authors

Shashank Shekhar

Neena Rana

Ranbir Singh Jaswal

Affiliations

Soon will be listed here.

Abstract

Objective: To compare maternal and neonatal effects of assisted vaginal delivery by forceps and vacuum extraction.

Methods: A prospective randomized study. One hundred eligible women requiring assisted vaginal delivery in the second stage of labor were randomized to deliver by forceps or vacuum extraction.

Results: All of those allocated to forceps delivery actually delivered with the allocated instrument (100 % delivery rate in forceps vs. 90 % in VE); however, maternal trauma (40 % in forceps vs. 10 % in VE, p < 0.001), use of analgesia (p < 0.001), and blood loss at delivery (234 ml in VE vs. 337 ml in forceps group, p < 0.05) were significantly less in the group allocated to deliver by vacuum extraction. Vacuum extraction, however, appears to predispose to an increase in neonatal jaundice and incidence of cephalhematoma. More serious neonatal morbidity was rare in both groups.

Conclusion: Extrapolation of the data from the study reveals that there is a significant reduction in maternal injuries. However, vacuum extraction has the potential to injure babies more.

Citing Articles

Instruments for assisted vaginal birth.

Verma G, Spalding J, Wilkinson M, Hofmeyr G, Vannevel V, OMahony F Cochrane Database Syst Rev. 2021; 9:CD005455.

PMID: 34559884 PMC: 8462579. DOI: 10.1002/14651858.CD005455.pub3.

References

Achanna S, Monga D . Outcome of forceps delivery versus vacuum extraction--a review of 200 cases. Singapore Med J. 1994; 35(6):605-8. View

JOHANSON R, Pusey J, Livera N, Jones P . North Staffordshire/Wigan assisted delivery trial. Br J Obstet Gynaecol. 1989; 96(5):537-44. DOI: 10.1111/j.1471-0528.1989.tb03252.x. View

Greis J, BIENIARZ J, SCOMMEGNA A . Comparison of maternal and fetal effects of vacuum extraction with forceps or cesarean deliveries. Obstet Gynecol. 1981; 57(5):571-7. View

Ali U, Norwitz E . Vacuum-assisted vaginal delivery. Rev Obstet Gynecol. 2009; 2(1):5-17. PMC: 2672989. View

Broekhuizen F, Washington J, Johnson F, Hamilton P . Vacuum extraction versus forceps delivery: indications and complications, 1979 to 1984. Obstet Gynecol. 1987; 69(3 Pt 1):338-42. View

Lucas M . The role of vacuum extraction in modern obstetrics. Clin Obstet Gynecol. 1994; 37(4):794-805. DOI: 10.1097/00003081-199412000-00004. 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

Vacca A, Grant A, Wyatt G, Chalmers I . Portsmouth operative delivery trial: a comparison vacuum extraction and forceps delivery. Br J Obstet Gynaecol. 1983; 90(12):1107-12. DOI: 10.1111/j.1471-0528.1983.tb06455.x. View

Berkus M, Ramamurthy R, OConnor P, Brown K, Hayashi R . Cohort study of Silastic obstetric vacuum cup deliveries: II. Unsuccessful vacuum extraction. Obstet Gynecol. 1986; 68(5):662-6. View

10.

Arya L, Jackson N, Myers D, Verma A . Risk of new-onset urinary incontinence after forceps and vacuum delivery in primiparous women. Am J Obstet Gynecol. 2001; 185(6):1318-23; discussion 1323-4. DOI: 10.1067/mob.2001.120365. View

11.

Kovavisarach E, Varanuntakul T . Neonatal and maternal complications among pregnant women delivered by vacuum extraction or forceps extraction. J Med Assoc Thai. 1999; 82(4):319-24. View

12.

Baerthlein W, Moodley S, Stinson S . Comparison of maternal and neonatal morbidity in midforceps delivery and midpelvis vacuum extraction. Obstet Gynecol. 1986; 67(4):594-7. View

13.

Carter J, Gudgeon C . Vacuum extraction and forceps delivery in a district hospital. Aust N Z J Obstet Gynaecol. 1987; 27(2):117-9. DOI: 10.1111/j.1479-828x.1987.tb00958.x. View