A randomized prospective trial of the obstetric forceps versus the M-cup vacuum extractor

Bofill, James A.; Rust, Orion A.; Schorr, Stephen J.; Brown, Robert C.; Martin, Rick W.; Martin, James N.; Morrison, John C.

doi:10.1016/s0002-9378(96)70049-2

Cited by 169 publications

(65 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…5 Maternal injury was not evaluated by this study but others have shown vaginal lacerations and thirdor fourth-degree tears are more frequent with operative delivers than cesarean delivery. [17][18][19] Thus, when spontaneous vaginal delivery is not possible, mode of delivery must be guided by patient-physician risk assessment because maternal and some neonatal risks are greatest with forceps-assisted vaginal delivery and other neonatal risks are greatest with vacuumassisted vaginal delivery or cesarean delivery.…”

Section: Discussionmentioning

confidence: 99%

Mode of Delivery in Nulliparous Women and Neonatal Intracranial Injury

Werner

Janević

Illuzzi

et al. 2012

Obstetrical &Amp; Gynecological Survey

View full text Add to dashboard Cite

OBJECTIVE-To compare neonatal neurologic complication rates of cesarean deliveries, forceps-assisted vaginal deliveries, and vacuum-assisted vaginal deliveries.METHODS-Data on singleton live births at 34 weeks or greater gestation born to nulliparous women from 1995 to 2003 in New York City were linked to hospital discharge data. Any diagnosis of neonatal subdural hemorrhage, intraventricular hemorrhage, seizures, scalp laceration or cephalohematoma, fracture, facial nerve palsy, brachial plexus injury, or 5-minute Apgar score of less than 7 was considered significant. Multivariable logistic regression was used to estimate associations between delivery mode and these neonatal morbidities.RESULTS-Forceps-assisted vaginal deliveries were associated with significantly fewer seizures and 5-minute Apgar scores less than 7 compared with vacuum-assisted vaginal deliveries and cesarean deliveries. Cesarean deliveries were linked to less subdural hemorrhages compared with forceps-assisted vaginal deliveries or vacuum-assisted vaginal deliveries. When seizure, intraventricular hemorrhage, and subdural hemorrhage were examined collectively to best predict neurologic outcome, forceps-assisted vaginal deliveries had an overall reduced risk compared with both vacuum-assisted vaginal deliveries (odds ratio [OR] 0.60, 95% confidence interval [CI] 0.40-0.90) and cesarean deliveries (OR 0.68,. The number needed to treat to prevent one case of severe neurologic morbidity is 509 for forceps-assisted vaginal deliveries compared with vacuum-assisted vaginal deliveries and 559 for forceps-assisted vaginal deliveries compared with cesarean deliveries.CONCLUSION-Compared with vacuum-assisted vaginal delivery or cesarean delivery, a forceps-assisted vaginal delivery is associated with a reduced risk of adverse neonatal neurologic outcomes.The operative vaginal delivery rate in the United States has decreased from 9% in 1990 to 4.8% in 2005, 1 largely as a result of a decrease in forceps-assisted vaginal delivery. In 1990, 1 in 20 neonates was delivered by forceps-assisted vaginal delivery compared with fewer than 1 in 100 in 2007. 1 This change in operative delivery practice is coupled with a rise in the cesarean delivery rate from 21% of all live births in 1996 to 32% in 2007. 2

show abstract

Section: Discussionmentioning

confidence: 99%

Mode of Delivery in Nulliparous Women and Neonatal Intracranial Injury

Werner

Janević

Illuzzi

et al. 2012

Obstetrical &Amp; Gynecological Survey

View full text Add to dashboard Cite

show abstract

“…Forceps and vacuum have been compared in many studies. [6][7][8][9] Review of the literature suggests different maternal and neonatal outcomes and complications rates between the two methods. Both are associated with increased risk of maternal and neonatal injury when compared to normal spontaneous vaginal deliveries.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of feto-maternal outcome in instrumental vaginal delivery at tertiary health level hospital in Uttarakhand state

Chaudhari¹,

Bansal²,

Gupta³

et al. 2016

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

“…7,[17][18][19][20] Other studies have shown that the risk of anal sphincter injury is lower after vacuum deliveries than after forceps deliveries. 17,[22][23][24] As a result, certain authors have called into question the use of forceps and have suggested preferential use of the vacuum extractor to minimize mechanical sphincter injury and to reduce the incidence of anal incontinence. 13,[22][23][24] However, it is surprising to hear such recommendations, because forceps have been in widespread use since the early 19th century 25 and because these prevalence of anal sphincter injury does not reflect our current clinical practice.…”

mentioning

confidence: 99%

Anal Sphincter Injury After Forceps Delivery: Myth or Reality?

Parades¹,

Etienney²,

Thabut³

et al. 2004

Diseases of the Colon &Amp; Rectum

View full text Add to dashboard Cite

Anal sphincter injury after forceps delivery was identified in <13 percent of our large population of healthy females. Our study does not confirm previous observations that anal sphincter injury is common after forceps delivery; previously published studies may have overestimated the prevalence of this condition. The only factor with significant predictive value for anal sphincter injury was perineal tear. Anal endosonography should be recommended after obstetric perineal tear.

show abstract

A randomized prospective trial of the obstetric forceps versus the M-cup vacuum extractor

Cited by 169 publications

References 8 publications

Mode of Delivery in Nulliparous Women and Neonatal Intracranial Injury

Mode of Delivery in Nulliparous Women and Neonatal Intracranial Injury

A comparative study of feto-maternal outcome in instrumental vaginal delivery at tertiary health level hospital in Uttarakhand state

Anal Sphincter Injury After Forceps Delivery: Myth or Reality?

Contact Info

Product

Resources

About