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Maternal and neonatal morbidity in instrumental deliveries with the kobayashi vacuum extractor and low forceps
Author(s) -
Meyer Laurence,
Mailloux Jacques,
Marcoux Sylvie,
Blanchet Pierre,
Meyer Francois
Publication year - 1987
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016348709022072
Subject(s) - medicine , forceps , vacuum extractor , obstetrical forceps , obstetrics , silastic , vacuum aspiration , surgery , population , environmental health , family planning , research methodology
Risks to the mother and newborn associated with the use of the Kobayashi Silastic vacuum extractor (n = 293) were compared with those associated with the use of low forceps (n = 468) in a retrospective chart review. Third or fourth degree perineal tears and vaginal and cervical lacerations were all observed less frequently among women delivered with the vacuum extractor. The need for post‐partum bladder catheterization was also reduced for these women. Babies born by the means of the vacuum extractor ran an increased risk of cephalhematoma and neonatal jaundice. No difference in major neonatal morbidity was observed between the two groups. The Kobayashi instrument appears to be a useful alternative to forceps in low vaginal instrumental deliveries.

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