Head position and vacuum‐assisted delivery using the Kiwi Omnicup

Schreiber, H; Cohen, Gal; Maor, Gil Shechter; Herzberger, Einat Haikin; Biron‐Shental, Tal; Markovitch, Ofer

doi:10.1002/ijgo.14367

Cited by 4 publications

(3 citation statements)

References 28 publications

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“…Recent data suggest that the use of the Kiwi OmniCup minimizes feto-maternal birth trauma, as compared to the Mityvac cup [19,20]. Failure rates using the Kiwi OmniCup vary [21][22][23], and are reported at around 1.4% in a previous publication from our institution [24]. Regarding the Mityvac cup, failure rates are around 0.7% [23].…”

Section: Introductionmentioning

confidence: 80%

The Impact of Total Deceleration Area and Fetal Growth on Neonatal Acidemia in Vacuum Extraction Deliveries

et al. 2023

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We aimed to investigate the correlation between total deceleration area (TDA), neonatal birthweight and neonatal acidemia in vacuum extractions (VEs). This is a retrospective study in a tertiary hospital, including VE performed due to non-reassuring fetal heart rate (NRFHR). Electronic fetal monitoring during the 120 min preceding delivery was interpreted by two obstetricians who were blinded to neonatal outcomes. TDA was calculated as the sum of the area under the curve for each deceleration. Neonatal birthweights were classified as low (<2500 g), normal (2500–3999 g) or macrosomic (>4000 g). A total of 85 VEs were analyzed. Multivariable linear regression, adjusted for gestational age, nulliparity and diabetes mellitus, revealed a negative correlation between TDA in the 60 min preceding delivery and umbilical cord pH. For every 10 K increase in TDA, the cord pH decreased by 0.02 (p = 0.038; 95%CI, −0.05–0.00). The use of the Ventouse-Mityvac cup was associated with a 0.08 decrease in cord pH as compared to the Kiwi OmniCup (95%CI, −0.16–0.00; p = 0.049). Low birthweights, compared to normal birthweights, were not associated with a change in cord pH. To conclude, a significant correlation was found between TDA during the 60 min preceding delivery and cord pH in VE performed due to NRFHR.

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Section: Introductionmentioning

confidence: 80%

The Impact of Total Deceleration Area and Fetal Growth on Neonatal Acidemia in Vacuum Extraction Deliveries

et al. 2023

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“…For fetuses with caput succedaneum or premature infants, fetal suction assisted delivery through the vagina is not suitable. 4 In clinical practice, emergency cesarean section is often chosen when persistent occipitotransverse position occurs during the second stage of labor. At present, most medical institutions in China are equipped with Simpson forceps.…”

Section: Discussionmentioning

confidence: 99%

“…During the operation of fetal suction assisted delivery, the negative pressure suction device may cause damage to the fetal brain. For fetuses with caput succedaneum or premature infants, fetal suction assisted delivery through the vagina is not suitable 4 . In clinical practice, emergency cesarean section is often chosen when persistent occipitotransverse position occurs during the second stage of labor.…”

Section: Discussionmentioning

confidence: 99%

Correlative analysis of different treatments of persistent occipitotransverse position on the outcome for mother and infant

Lin,

Zhou,

Mao

et al. 2024

J of Obstet and Gynaecol

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ObjectiveTo explore the clinical feasibility of different treatment methods for persistent occipitotransverse position and the influence on maternal and infant complications.MethodDuring the trial of vaginal delivery from April 2020 to March 2023 in our hospital, the cervix was fully dilated and the presentation was located at +2 station. Ninety‐six pregnant women with fetal presentation at +4 station, occipitotransverse fetal position, maternal complications, abnormalities in the second stage of labor, and or fetal distress were divided into two groups: 65 patients with Kielland forceps vaginal delivery and 31 patients underwent emergency cesarean section. The delivery time, vaginal laceration rate, postpartum blood loss volume, puerperal infection rate, neonatal birth injury rate, and neonatal 1 min Apgar scores were analyzed.ResultsThe delivery outcomes and maternal and neonatal complications of 96 pregnant women were analyzed: the application of Kielland forceps delivery time was shorter, while the vaginal laceration rate, postpartum hemorrhage, puerperal infection rate were significantly lower than that of patients undergoing emergency cesarean section and the neonatal 1 min Apgar score was higher than that of emergency cesarean section group (p < 0.05).ConclusionIt was clinically appropriate to use Kielland forceps in vaginal delivery when the persistent occipitotransverse position was present and delivery needed to be expediated. Use of Kielland forceps can shorten the delivery time, improve the success rate of vaginal delivery and reduce the complications of mothers and infants.

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Impact of Thin Meconium on Delivery and Early Neonatal Outcomes

et al. 2023

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Several reports regarding the effects of thin meconium on maternal and neonatal outcomes are contradictory. This study evaluated the risk factors and obstetrical outcomes during deliveries complicated with thin meconium. This retrospective cohort study included all women with a singleton pregnancy, who underwent trial of labor >24 weeks of gestation, in a single tertiary center, over a six-year period. Obstetrical, delivery, and neonatal outcomes were compared between deliveries with thin meconium (thin meconium group) to deliveries with clear amniotic fluid (control group). Included in the study were 31,536 deliveries. Among them 1946 (6.2%) were in the thin meconium group and 29,590 (93.8%) were controls. Meconium aspiration syndrome was diagnosed in eight neonates in the thin meconium group and in none of the controls (0.41%, p < 0.001). In multivariate logistic regression analysis, the following adverse outcomes were found to be independently associated with increased odds ratio (OR) for thin meconium: intrapartum fever (OR 1.37, 95% CI 1.1–1.7), instrumental delivery (OR 1.26, 95% CI 1.09–1.46), cesarean delivery for non-reassuring fetal heart rate (OR 2.0, 95% CI 1.68–2.46), and respiratory distress requiring mechanical ventilation (OR 2.06, 95% CI 1.19–3.56). Thin meconium was associated with adverse obstetrical, delivery, and neonatal outcomes that should receive extra neonatal care and alert the pediatrician.

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Head position and vacuum‐assisted delivery using the Kiwi Omnicup

Cited by 4 publications

References 28 publications

The Impact of Total Deceleration Area and Fetal Growth on Neonatal Acidemia in Vacuum Extraction Deliveries

The Impact of Total Deceleration Area and Fetal Growth on Neonatal Acidemia in Vacuum Extraction Deliveries

Correlative analysis of different treatments of persistent occipitotransverse position on the outcome for mother and infant

Impact of Thin Meconium on Delivery and Early Neonatal Outcomes

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