Maternal and neonatal results of vacuum extraction Vakum ekstraksiyonunun maternal ve neonatal sonuçlari
Jinekoloji ve Obstetrik Dergisi, cilt.21, sa.2, ss.79-83, 2007 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 2
- Basım Tarihi: 2007
- Dergi Adı: Jinekoloji ve Obstetrik Dergisi
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.79-83
- Anahtar Kelimeler: Neonatal morbidity, Operative vaginal delivery, Vacuum extraction
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
OBJECTIVE: To evaluate the vacuum extraction deliveries from different aspects in our department. STUDY DESING: 44 vacuum extraction cases who were delivered in our clinic between January 2001 and March 2006 were analysed retrospectively and included to this study. Maternal outcomes were evaluated by the use of following criterias : maternal age, gestational age, gravidity, parity, acut fetal distress, the need for oxytocin usage, degree of perineal laceration, degree of postpartum anemia, length of postpartum hospitalization period. Neonatal outcomes were evaluated according to birth weight, sex, first and fifth minutes Apgar score, need for resusitation, clavicula fracture, head trauma (intracranial hemorrhage, subdural or cephal heamatomas), hyperbilirubinemia, respiratuary distress syndrome and hospitalization period. RESULTS: The incidence of vacuum extraction was found to be 0.9 % amoung all births. The indications for vacuum extraction were fetal distress in 36 cases and arrest of second stage of labor in eight cases with ratios of 82 % and 18 %, respectively. Complications and their frequencies according to evaluation of maternal results were lengthen of episiotomy laceration in three (7 %) of the cases, first degree perineal laseration in four (9 %) of the cases, second degree perineal laceration in two (5 %) of the cases, third degree perineal laceration in only one (2 %) of the cases and postpartum anemia was recorded in 7 (16 %) of the cases but transfusion was not needed for any of them. Although first minute Apgar score were observed under 8 in 5 of the 44 (11 %) neonates, this situation was perisistant in only one (2 %) case according to fifth minute score of Apgar. Need for resusitation, fracture of clavicula, head trauma, hyperbilirubinemia, and respiratuary distress syndrome was not observed in any of the 44 neonates. Three of the cases in this study were delivered by caesarean section due to the failure of vacuum extraction. CONCLUSION: Vacuum extraction delivery has never been free from criticism, and is certainly not without risks, although most vacuum extraction deliveries have normal outcomes.