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The vacuum extractor — A re-appraisal

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Summary

ONE hundred and twenty-seven patients in whom ventouse (vacuum extractor) delivery was attempted are described. In 121 delivery was completed by the instrument; in 2 it was completed by forceps and in 4 by Caesarean section. The patients were compared with the next registered patient who had a spontaneous vaginal delivery of a baby presenting cephalically and matched for gestational length and parity. There were no significant differences in perinatal mortality or in perinatal, neonatal or maternal morbidity. Follow-up of the babies delivered by the ventouse for at yeast 2 years has shown no abnormalities in development. The continued use of the instrument in the second stage of labour in conjunction with a policy of active management of labour is recommended.

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References

  1. Ahuja, G. L., Willoughby, M. L. N., Kerr, Margaret M. and Hutchinson, J. H. 1969. Massive subaponeurotic haemorrhage in infants born by vacuum extraction. Brit. Med. J. iii, 743–745.

  2. Bird, G. C. 1976. The importance of flexion in vacuum extractor delivery. Brit. J. Obstet. Gynaecol. 83, 194–200.

  3. Chalmers, J. A., 1968. The management of malrotation of the occiput. J. Obstet. Gynaecol. Brit. Cwealth. 75, 889–891.

  4. Chalmers, J. A. 1971. The ventouse: The obstetric vacuum extractor. London. Lloyd-Luke.

  5. Huntingford, P. 1961. The vacuum extractor in the treatment of delay in the first stage of labour. Lancet ii, 1045–1057.

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Author information

Correspondence to Caroline DeCosta.

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DeCosta, C. The vacuum extractor — A re-appraisal. Ir J Med Sci 151, 105 (1982). https://doi.org/10.1007/BF02940157

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Keywords

  • Caesarean Section
  • Foetal Distress
  • Operative Delivery
  • Vacuum Extractor
  • Gestational Length