Maternal and Neonatal Complications Resulting From Vacuum-Assisted and Normal Vaginal Deliveries

Abbas, Renad A; Qadi, Yasmin H; Bukhari, R.; Shams, Taghreed

doi:10.7759/cureus.14962

Cited by 6 publications

(2 citation statements)

References 15 publications

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“…This finding is consistent with studies done in Afghanistan, Sweden and Spain. [19][20][21] This may be due to low-birthweight newborns are mostly premature, have immature immune system, unable to feed, easily lose their heat, low store of glucose and more likely risk to develop hypoglycemia may increases the likelihood of neonatal infections. In the present study, 167 neonates had cultureconfirmed infections; blood culture positive (13.8%) and sepsis screen positive (86.2%).…”

Section: Discussionmentioning

confidence: 99%

Bacterial profiling, sensitivity and resistance pattern of neonatal sepsis in neonatal intensive care unit of tertiary care hospital

Srivastav,

Verma,

Mitra

et al. 2024

Int J Contemp Pediatr

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Background: This study aimed to identify the distribution of pathogens and their antimicrobial resistance patterns in the neonates admitted to the NICU of a tertiary care hospital in northern India. Methods: After obtaining written informed consent, neonates with confirmed or suspected cases of neonatal sepsis (n=167) aged 0-28 days were included. As soon as the baby arrived, all the clothes were removed and kept in a pre-heated warmer. Before administering I/V antibiotics, all the routine and culture samples were taken. The clinical data were collected and analysed using SPSS. Results: Most of the neonates were from lower middle class, out-born, LSCS, early preterm, and low birth weight (LBW). 167 neonates had culture-confirmed infections [blood culture positive (13.8%) and sepsis screen positive (86.2%)]. Gastric aspirate cytology was positive in 61.7% of patients. Maximum cytology-positive cases were seen in neonates with EOS. The most common risk factors were birth asphyxia. 142 individuals were discharged, with 72.5% diagnosed with EOS and 89% with LOS. There was a significant difference in gastric aspirate cytology when associated with expiry and discharge. Out of 167 neonates, 13.77% were culture-positive for neonatal sepsis. Out of 23 organisms, 82.6% were resistant, while, 17.4% were not. Staph aureus was the major causative organisms. Among the Gram Positive and Negative bacteria, the highest sensitivity was observed for imipenum. All gram-positive bacteria were resistant to cotrimazole, tobramycin, and erythromycin. Conclusions: Implementation of effective preventive strategies to combat the emergence of antibiotic resistance is urgently needed.

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Section: Discussionmentioning

confidence: 99%

Bacterial profiling, sensitivity and resistance pattern of neonatal sepsis in neonatal intensive care unit of tertiary care hospital

Srivastav,

Verma,

Mitra

et al. 2024

Int J Contemp Pediatr

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“…A prolonged second stage of labor asynclitism is mostly associated with caput succedaneum, which is also known as birth tumor, derived Latin etymology, meaning “swelling” [ 35 ]. In fact, it is a common benign subcutaneous edema on the fetal scalp due to the strain of an incorrect fetal head descending through birth canal, which prolongs the labor duration and amplifies the pressure of vaginal walls on the skull [ 36 , 37 , 38 ]. The swelling typically crosses cranial suture lines and the midline; thus, digital examination often does not manage to establish the persistence or not of an asynclitic attitude, which is a significant prognostic factor [ 39 , 40 ].…”

Section: Digital Examination Versus Intrapartum Ultrasoundmentioning

confidence: 99%

Asynclitism and Its Ultrasonographic Rediscovery in Labor Room to Date: A Systematic Review

et al. 2022

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Asynclitism, the most feared malposition of the fetal head during labor, still represents to date an unresolved field of interest, remaining one of the most common causes of prolonged or obstructed labor, dystocia, assisted delivery, and cesarean section. Traditionally asynclitism is diagnosed by vaginal examination, which is, however, burdened by a high grade of bias. On the contrary, the recent scientific evidence highly suggests the use of intrapartum ultrasonography, which would be more accurate and reliable when compared to the vaginal examination for malposition assessment. The early detection and characterization of asynclitism by intrapartum ultrasound would become a valid tool for intrapartum evaluation. In this way, it will be possible for physicians to opt for the safest way of delivery according to an accurate definition of the fetal head position and station, avoiding unnecessary operative procedures and medication while improving fetal and maternal outcomes. This review re-evaluated the literature of the last 30 years on asynclitism, focusing on the progressive imposition of ultrasound as an intrapartum diagnostic tool. All the evidence emerging from the literature is presented and evaluated from our point of view, describing the most employed technique and considering the future implication of the progressive worldwide consolidation of asynclitism and ultrasound.

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Experimental Assessment of Traction Force and Associated Fetal Brain Deformation in Vacuum-Assisted Delivery

Pitti,

Herling,

et al. 2024

Ann Biomed Eng

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Vacuum-assisted delivery (VAD) uses a vacuum cup on the fetal scalp to apply traction during uterine contractions, assisting complicated vaginal deliveries. Despite its widespread use, VAD presents a higher risk of neonatal morbidity compared to natural vaginal delivery and biomechanical evidence for safe VAD traction forces is still limited. The aim of this study is to develop and assess the feasibility of an experimental VAD testing setup, and investigate the impact of traction forces on fetal brain deformation. A patient-specific fetal head phantom was developed and subjected to experimental VAD in two testing setups: one with manual and one with automatic force application. The skull phantom was 3D printed using multi-material Polyjet technology. The brain phantom was cast in a 3D-printed mold using a composite hydrogel, and sonomicrometry crystals were used to estimate the brain deformation in three brain regions. The experimental VADs on the fetal head phantom allowed for quantifying brain strain with traction forces up to 112 N. Consistent brain crystal movements aligned with the traction force demonstrated the feasibility of the setup. The estimated brain deformations reached up to 4% and correlated significantly with traction force (p < 0.05) in regions close to the suction cup. Despite limitations such as the absence of scalp modeling and a simplified strain computation, this study provides a baseline for numerical studies and supports further research to optimize the safety of VAD procedures and develop VAD training platforms.

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Maternal and Neonatal Complications Resulting From Vacuum-Assisted and Normal Vaginal Deliveries

Cited by 6 publications

References 15 publications

Bacterial profiling, sensitivity and resistance pattern of neonatal sepsis in neonatal intensive care unit of tertiary care hospital

Bacterial profiling, sensitivity and resistance pattern of neonatal sepsis in neonatal intensive care unit of tertiary care hospital

Asynclitism and Its Ultrasonographic Rediscovery in Labor Room to Date: A Systematic Review

Experimental Assessment of Traction Force and Associated Fetal Brain Deformation in Vacuum-Assisted Delivery

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