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Fetal and maternal effects of forceps and vacuum extraction
Author(s) -
PUNN R.,
ARO P.,
KUUKANKORPI A.,
PYSTYNEN P.
Publication year - 1986
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1986.tb08633.x
Subject(s) - vacuum extraction , forceps , medicine , obstetrics , gestational age , fetal head , scalp , apgar score , postpartum haemorrhage , fetal distress , fetus , pregnancy , surgery , biology , genetics
Summary. Between 1976 and 1984, 223 forceps deliveries were compared with the next vacuum extraction that occurred in the labour ward. The groups did not differ in gestational age, parity, presentation and station of fetal head at start of the delivery, infant birthweights, or the indication for the procedure. Of the forceps deliveries, 66% were performed by a specialist, compared with only 16% of the vacuum extractions. Maternal complications were equally common in both groups. Severe birth canal trauma occurred in 7% of each group. Low 1‐min Apgar scores (<7) were found significantly (P<0.0l) more often in the vacuum extraction group (36 infants) than in the forceps group (17 infants).Cephalohaematomas and scalp lesions, neonatal jaundice and clavicular fracture were all significantly less common after forceps than after vacuum extraction. One infant in the vacuum group had a cranial fracture.