Related Experiment Videos
[Trial vacuum extractor for cephalic engagement. 50 cases in French Guiana]
P Raynal1, A E Bossard, G Carles
1Service de gynécologie-obstétrique, centre hospitalier André Bouron, 97320 Saint-Laurent du Maroni, Guyane française. chefclinique.mater@svp.ap-hop-paris.fr
Objective:
Considering a population with an African culture traditionally opposed to a caesarean section, vertex engagement with a vacuum extractor could be a good alternative.
Patients And Methods:
In a retrospective study of 50 cases of trial engagement with a vacuum extractor in French Guyana, there were 94% of vaginal deliveries.
Results:
A high level of shoulder dystocia (14%) was noted, and the failure of this technique was the consequence of disproportions between foetus and pelvis that had not been correctly diagnosed.
Conclusion:
In this article, feasibility and obstetrical conditions to carry out a trial engagement with a vacuum extractor are discussed.