Instrumental delivery: clinical practice guidelines from the French College of Gynaecologists and Obstetricians

Vayssière, Christophe; Beucher, G.; Dupuis, Olivier; Feraud, O.; Simon-Toulza, Caroline; Sentilhes, Loïc; Meunier, Emmanuelle; Parant, Olivier; Schmitz, Thomas; Riethmuller, Didier; Baud, Olivier; Galley-Raulin, Fabienne; Diemunsch, Pierre; Pierre, Fabrice H.F.; Schaal, J.-P.; Fournié, A; Oury, Jean

doi:10.1016/j.ejogrb.2011.06.043

Cited by 88 publications

(71 citation statements)

References 10 publications

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“…Attending obstetricians regularly reviewed with registrars the College classification, academic knowledge about operative vaginal delivery, and the French National College of Obstetricians and Gynecologists clinical practice guidelines for operative vaginal delivery: rotational forceps-assisted deliveries (greater than 90°rotation) are not recommended; available data do not fully justify contraindication of midpelvic delivery, which can be performed in appropriate selected cases by trained, experienced obstetricians. 10,16 Indications for attempted operative vaginal delivery included nonreassuring scalp pH and fetal heart rate (defined by any of prolonged deceleration, bradycardia, decreased variability, or thick meconium 20 ) and prolongation of active second stage resulting from inadequate expulsive efforts or failure to progress. 10,16 All women underwent continuous fetal heart rate monitoring.…”

Section: Methodsmentioning

confidence: 99%

“…10,16 Indications for attempted operative vaginal delivery included nonreassuring scalp pH and fetal heart rate (defined by any of prolonged deceleration, bradycardia, decreased variability, or thick meconium 20 ) and prolongation of active second stage resulting from inadequate expulsive efforts or failure to progress. 10,16 All women underwent continuous fetal heart rate monitoring. Episiotomy was left to the discretion of the practitioner.…”

Section: Methodsmentioning

confidence: 99%

“…4,11 Guidelines from the American College of Obstetricians and Gynecologists (the College), the Royal College of Obstetricians and Gynaecologists, and the Society of Obstetricians and Gynaecologists of Canada allow the use of midpelvic operative vaginal delivery only by experienced operators, [12][13][14][15] whereas the French National College of Obstetricians and Gynecologists considers that the available data do not justify a strong contraindication of this specific type of delivery and that a case-by-case analysis is necessary. 10,16 Our main and secondary aims were to assess severe maternal and neonatal morbidity after attempted operative vaginal delivery according to its classification (defined by fetal head station at instrument application) and to compare morbidity after midpelvic and low pelvic delivery attempts using propensity score matching to ensure comparability of the study groups.…”

Section: Level Of Evidence: IImentioning

confidence: 99%

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Maternal and Neonatal Morbidity After Attempted Operative Vaginal Delivery According to Fetal Head Station

Ducarme

Hamel

Bouet³

et al. 2015

Obstetrics &Amp; Gynecology

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Level Of Evidence: IImentioning

confidence: 99%

See 1 more Smart Citation

Maternal and Neonatal Morbidity After Attempted Operative Vaginal Delivery According to Fetal Head Station

Ducarme

Hamel

Bouet³

et al. 2015

Obstetrics &Amp; Gynecology

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“…Doğum eylemi sırasında epidural analjezinin etkilerini inceleyen yakın zamanda yayımlanmış iki ça-lışmada ise; epidural analjezinin operatif doğum oranlarını artırmadığı bildirilmiştir. 17,18 Bizim ça-lışmamızda ise epidural analjezi uygulanan grupta doğumda epizyotomi ihtiyacı sıklığında artış saptansa da literatürün aksine epidural analjezi uygulanan hastalarda operatif doğum gereksinimi istatistiksel olarak anlamlı oranda az saptanmıştır. Geçmişte epidural analjezinin lokal anestezik ajanın yoğun blok oluşturması ve motor fonksiyonları bozarak sezaryen riskini artırdığına dair çalışmalar mevcut idi.…”

Section: Discussionunclassified

Effects of Epidural Analgesia on Labor, Delivery and Neonatal Outcomes in Patients Performed Epidural Analgesia During Labor

Gümüş¹,

Melekoğlu²,

Evrüke³

et al. 2015

Turkiye Klinikleri J Gynecol Obst

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146Doğum Eylemi Sırasında Epidural Analjezi Uygulanmış Hastalarda Epidural Analjezinin Doğum Eylemi, Doğum ve Neonatal Sonuçlara Etkisi Ö ÖZ ZE ET T A Am ma aç ç: : Doğum eylemi sırasında epidural analjezi uygulanmış hastalarda, epidural analjezinin doğum eylemi, doğum ve neonatal sonuçlara etkilerinin değerlendirilmesi amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çukurova Üni-versitesi Tıp Fakültesi Hastanesi Kadın Hastalıkları ve Doğum Kliniğine 1 Ocak 2013-31 Aralık 2013 tarihleri arasında başvuran, doğum eylemi spontan başlamış, çalışmanın katılım kriterlerini karşılayan 106 gebe çalışmaya dâhil edildi. Aynı özelliklere sahip epidural analjezi işlemini kabul etmeyen 251 gebe de kontrol grubu olarak alındı. Gruplar demografik özellikleri, obstetrik sonuçları ve neonatal sonuçları açısından karşılaştırıldı. Sonuçlar arasında istatistiksel önem düzeyi için p değeri <0,05 olarak alındı. B Bu ul lg gu ul la ar r: : Yaş, beden kitle indeksi, gebelik haftası ve doğumhaneye yatışları sırasındaki servikal dilatasyonları açısından gruplar arasında anlamlı fark izlenmedi. Epidural analjezi uygulanan hastaların doğumun birinci ve ikinci evresinin anlamlı oranda uzun (p=0,001), normal doğum oranının anlamlı oranda fazla, epizyotomi ihtiyacının anlamlı düzeyde fazla (p=0,000), operatif doğum oranının ise anlamlı düzeyde az olduğu saptandı (p=0,009). Plasenta retansiyonu görülmesi açısından gruplar arasında anlamlı fark izlenmedi (p=0,158). Neonatal sonuçlar açısından karşılaştırıldığında ise gruplar arasında doğum kiloları, 1. ve 5. dakika APGAR skorları açısından anlamlı fark saptanmaz iken, epidural analjezi uygulanmış annelerin bebeklerinde yenidoğan yoğun bakıma yatış oranları anlamlı düzeyde yüksek saptandı (p=0,001). S So on nu uç ç: : Çalışmamızda doğum eylemi sırasında epidural analjezi kullanımının operatif doğum ve sezaryen oranlarını artır-madığı, yenidoğanlarda yenidoğan yoğun bakım ünitesine yatış oranlarında artış olduğu saptansa da 1. ve 5. dakika APGAR skorları arasında çalışma ve kontrol grubu arasında anlamlı fark olmadığı gösterilmiştir. Bu sonuçlar ışı-ğında çalışmamız, epidural analjezi ile normal doğumun hasta konforu açısından avantajlı bir yöntem olması yanı sıra hem anne hem bebek açısından güvenli ve seçkin bir yöntem olduğunu ortaya koymuştur.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Analjezi, epidural; normal doğum; gebelik sonucu A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : In this study, it is aimed to evaluate the effects of epidural analgesia on labor, delivery and neonatal outcomes in patients performed epidural analgesia during labor. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : All patients admitted to Çukurova University Medical Faculty Hospital, Obstetrics and Gynecology Clinic because of the onset of labor spontaneously between 1 January 2013-31 December 2013 were included in the study. A total of 106 pregnant women that meet the inclusion criteria were enrolled in the study group. 251 pregnant women with the same chara...

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“…More recent data from the same registry described: 13.1 % of instrumental deliveries, of which 38.3 % were vacuum cup extraction (http://www.audipog.net/). While the use of forceps is accompanied by fewer extraction failures, the use of a ventouse is associated with less maternal or neonatal trauma [2–4]. …”

Section: Introductionmentioning

confidence: 99%

Clinical impact of the disposable ventouse iCup® versus a metallic vacuum cup: a multicenter randomized controlled trial

Equy

David-Tchouda

Dreyfus

et al. 2015

BMC Pregnancy Childbirth

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BackgroundAssisted vaginal delivery by vacuum extraction is frequent. Metallic resterilizible metallic vacuum cups have been routinely used in France. In the last few years a new disposable semi-soft vacuum extraction cup, the iCup, has been introduced. Our objective was to compare maternal and new-born outcomes between this disposable cup and the commonly used Drapier-Faure metallic cup.MethodsThis was a multicenter prospective randomized controlled open clinical trial performed in the maternity units of five university hospitals and one community hospital in France from October 2009 to February 2013. We included consecutive eligible women with a singleton gestation of at least 37 weeks who required vacuum assisted delivery. Women were randomized to vacuum extraction using the iCup or usual Drapier-Faure metallic cup. The primary outcome was a composite criterion including both the risk of cup dysfunction and the most frequent maternal and neonatal harms: the use of other instruments after attempted vacuum extraction, caesarean section after attempted vacuum extraction, three detachments of the cup, caput succedaneum, cephalohaematoma, episiotomy and perineal tears.Results335 women were randomized to the disposable cup and 333 to extraction using the metallic cup. There was no significant difference between the two groups for the primary outcome. However, failed instrumental delivery was more frequent in the disposable cup group, mainly due to detachment: 35.6 % vs 7.1 %, p < 0.0001. Conversely, perineal tears were more frequent in the metallic cup group, especially third or fourth grade perineal tears: 1.7 % versus 5.0 %, p = 0.003. There were no significant differences between the two groups concerning post-partum haemorrhage, transfer to a neonatal intensive care unit (NICU) or serious adverse events.ConclusionsWhile the disposable cup had more detachments and extraction failures than the standard metallic cup, this innovative disposable device had the advantage of fewer perineal injuries.Trial registrationwww.clinicaltrials.gov: NCT01058200 on Jan. 27 2010.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-015-0771-1) contains supplementary material, which is available to authorized users.

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Instrumental delivery: clinical practice guidelines from the French College of Gynaecologists and Obstetricians

Cited by 88 publications

References 10 publications

Maternal and Neonatal Morbidity After Attempted Operative Vaginal Delivery According to Fetal Head Station

Maternal and Neonatal Morbidity After Attempted Operative Vaginal Delivery According to Fetal Head Station

Effects of Epidural Analgesia on Labor, Delivery and Neonatal Outcomes in Patients Performed Epidural Analgesia During Labor

Clinical impact of the disposable ventouse iCup® versus a metallic vacuum cup: a multicenter randomized controlled trial

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