M.C. Tîrnovanu, D. Nemescu, A.C. Mătrescu, A.M. Cozoreanu, A. Cara, S. Pasat, S.D. Tîrnovanu, M. Onofriescu
Rezumat: For the last few years in our clinic the forceps delivery was
replaced by vacuum extraction. The study follows
the clinical use of vacuum extractor delivery instruments
in the modern obstetric management. In this context we
analysed the evaluation of the indications of application
of vacuum extraction, the status of the newborns and
birth injuries that may occur. The study was run in 1st Clinic of Obstetrics and Gynecology Iaşi between January and December 2009. We had 124 deliveries with vacuum extraction - 0.7%.
Indications were: prolonged second stage of labour (70
cases, 39 with epidural anesthesia), fetal distress (52 cases),
shortening of the second stage of labor (2 cases). The
baby’s weight at the delivery was between 2680 and 4150
gr. The Apgar score at 1 minute was 4-6 for 22 deliveries
and 7-9 for the other 102, but the number of days for
admission in the hospital was no greater than 6. Neonatal
complications were only 4 cephalohematomas and for
the others, only a small area of swelling.
Vacuum extraction has the reputation for being easy to
use, and is supposed to be safe. The rates of maternal and
fetal trauma were decreased. We must restrict vacuum
operations to well-defined indications to ensure success. Cuvinte cheie: vaccum extraction, operative vaginal delivery.