Abstract
Objective Vacuum extractor or ventouse and forceps are sometimes used to assist normal delivery. The use of vacuum extractor is getting a favor over forceps. But newborn delivered by ventouse also has high risk of complications. Its oxygenation levels may be affected apart from other risks and feeding behavior of infant may also be affected. In view of this, we studied the SpO2 levels of newborns delivered by vacuum-assisted vaginal delivery (VAVD) and compared it with newborns delivered by normal vaginal delivery (NVD). We also studied other parameters in both the groups.
Methods SpO2 was measured in 100 full-term newborns delivered by NVD and 18 delivered by the assistance of vacuum extractor serially in first 24 h. We studied their other clinical characteristics and complications also.
Results SpO2 of newborns delivered by vacuum assistance was lower than newborn delivered by NVD in initial 40 min, thereafter, the difference decreased over 24 h. More complications were noted in VAVD group. Significant caput was seen in all VAVD newborns.
Discussion Vacuum application may affect the oxygenation levels of newborn. It is associated with other risks also. It was not possible to ascertain that the increased morbidity was due to vacuum or other events, which were antenatally happening before
vacuum application. But overall risk is higher in VAVD newborns. We recommended that all vacuum-assisted deliveries must be attended by pediatricians and newborn should be carefully observed for 24–48 h for complications and other issues.
Keywords
References
Miksovsky P, Watson WJ. Obstetric vacuum extraction: state of the art in the new millennium. Obstet Gynecol Surv. 2001;56:736–751.
Cheng YW, Hopkins LM, Caughey AB. How long is too long: does a prolonged second stage of labor in nulliparous women affect maternal and neonatal outcomes?. Am J Obstet Gynecol.2004;191:933–938.
Johanson RB, Menon V. Vacuum extraction versus forceps for assisted vaginal delivery. Cochrane Database Syst Rev. 2000;2:CD000224.
Nachtergaele P, Van Calenbergh F, Lagae L. Craniocerebral birth injuries in term newborn infants: a retrospective series. Childs Nerv Syst. 2017;33:1927–1935.
Emmanouil S, Nikolaos V, Dimitrios K, Constantine L, Elias H, Ioannis S, et al. The influence of vacuum extractor on fetal oxygenation and newborn status. Arch Gynecol Obstet. 2005;271:119–122.
Vintzileos AM, Nochimson DJ, Antsaklis A, Varvarigos I, Guzman ER, Knuppel RA. Effect of vacuum extraction on umbilical cord blood acid-base measurements. J Matern Fetal Med. 1996;5:11–17.
Ali UA, Norwitz ER Vacuum assisted vaginal delivery. Rev Obstet Gynecol. 2009;2:5–17.
Daniel S, Sileshi T. The prevalence of vacuum vaginal delivery and its indications and outcome among mothers who delivered in Mizan-Tepi University teaching Hospital, Southwest Ethiopia, 2017. Retrospective cross-sectional study. J Gynecol Women’s Health. 2017;6:001–005.
Clark Sl, Belfort MA, Hankins GD, Meyers JA, Houser FM. Variation in the rates of operative delivery in the United States.Am J Obstet Gynecol. 2007;196:526:e1–e5.
Baume S, Cheret A, Creveuil C, Vardon D, Herlicoviez M, Dreyfus M. Complications of vacuum extratcor deliveries. J Gynecol Obstet Biol Reprod (Paris). 2004;33:304–311.
Simonson C, Barlow P, Dehennin N, Sphel M, Toppet V, Murillo D. Neonatal complications of vacuum-assisted delivery. Obstet Gynecol. 2007;109:626–633.
Johnson JH, Figueroa R, Garry D , Elimian A, Maulik D. Immediate maternal and neonatal effects of forceps and vacuum-assisted deliveries. Obstet Gynecol. 2004;103:513–518.
Doumouchtsis SK, Arulkumaran S. Head trauma after instrumental births. Clin Perinatol. 2008;35:69–83.
Ng YY, Su PH, Chen JY, Lee IC. Do vacuum-assisted deliveries cause intracranial vessel injuries.? J Child Neurol. 2010;25:222–226.
Kamlin CO, O'Donnell CP, Davis PG, Morley CJ. Oxygen saturation in healthy infants immediately after birth. J Pediatr.2006;148:585–589.
Carbonne B, Langer B, Goffinet F, Audibert F, Tardif D, Le Goueff F, et al. Multicenter study on the clinical value of fetal pulse oximetry II. Compared predictive values of pulse oximetry and fetal blood analysis. The French study group on fetal pulse oximetry. Am J Obstet Gynecol. 1997;177:593–598.
Garite TJ, Dildy GA, McNamara H, Nageotte MP, Boehm FH, Dellinger EH, et al. A multicenter controlled trial of fetal pulse oximetry in the intrapartum management of nonreassuring fetal heart rate patterns. Am J Obstet Gynecol. 2000;183:1049–1058.
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