The effect of sequential use of vacuum and forceps for assisted vaginal delivery on neonatal and maternal outcomes

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

“…[22][23][24][25][26][27][28][29] Some authors highlight the risk of vacuum, but vacuum is generally considered as a safe alternative to forceps or with comparable outcomes concerning the neonatal morbidity. In the present study, low Apgar Score at 1 & 5 min, NICU admissions and duration of stay in NICU were non significantly higher after forceps application.…”

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

“…Kielland's forceps are used to achieve rotation of the fetal head from the occipito-transverse or occipito-posterior position at the mid-cavity level of the pelvis. 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].…”

Instrumental delivery: a comparative study in a tertiary care hospital

“…Neonatal morbidity differs substantially among various published reports. [8][9][10][11] In a review of 13 randomized trials comparing forceps with vacuum extraction no significant differences were found in umbilical pH, severe morbidity or neonatal death. 7 Long term maternal and neonatal outcomes were also not studied in the study.…”