An analysis of recent trends in vacuum extraction and forceps delivery in the United Kingdom

Vacuum extraction: is there any need to improve the current training in the UK?

“…Most notably, Bofill et al reported that while only 57% of the fellows in their study had been trained in the use of the vacuum extractor during their residency program, 75% carried out such procedures (11). Although application of the vacuum cup before full dilatation of the cervix is not contraindicated and is in fact one of the potential advantages of this technique, this requires greater skill and judgment than delivery at full dilatation; Meniru observed that the majority of respondents in his survey would be prepared to undertake a vacuum delivery before full dilatation of the cervix (12). Inappropriate selection of cases can lead to potentially damaging maternal and fetal consequences.…”

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

“…1 In North America, forceps has been used more frequently than vacuum extraction whereas reverse is true in Europe and Asia. [2][3][4] Vacuum extraction has recently gained in popularity because of new designs of vacuum cups with reduced risk of injury to the neonate. 5 James Young Simpson was the first to use traction to deliver a baby in 1849.…”

Kielland’s forceps: does it increase the risk of anal sphincter injuries? An observational study

“…Ventouse can be used in these situations as well; however, there is a risk of failure and subsequent use of sequential instruments [1,2] with added maternal and neonatal morbidity. Over the past 20 years the rising trend in the usage of vacuum extractor and more liberal use of caesarean sections have resulted in the steady decline of forceps deliveries [3][4][5]. There are also other factors such as fear of complications and subsequent litigation [6,7], lack of experience with modern obstetric training and increasing obstetrician's preference to resort to caesarean sections in the second stage [8][9][10][11], which has led to the decline in the use of Kielland's forceps.…”