Related Experiment Video
Updated: Jun 6, 2026
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
WITHDRAWN: Vacuum extraction versus forceps for assisted vaginal delivery.
Richard Johanson1, Vijay Menon
1(Deceased) North Staffordshire Hospital NHS Trust, Stoke-on-Trent, UK.
The Cochrane Database of Systematic Reviews
|November 12, 2010
Summary
Vacuum extraction for assisted vaginal delivery reduces maternal injury compared to forceps. However, it is linked to more neonatal cephalhaematomas and retinal hemorrhages, though serious injury is rare with both methods.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Surgical Interventions
Background:
- Vacuum extraction is proposed as a primary method for assisted vaginal delivery due to perceived lower maternal injury rates.
- The comparative effectiveness and safety of vacuum extraction versus forceps delivery require thorough evaluation.
Purpose of the Study:
- To compare the outcomes of vacuum extraction versus forceps for assisted vaginal delivery.
- To assess the impact on delivery success rates, maternal morbidity, and neonatal outcomes.
Main Methods:
- A systematic review of randomized controlled trials was conducted.
- Searches were performed on the Cochrane Pregnancy and Childbirth Group trials register up to February 1999.
- Trial quality was independently assessed and data extracted by two reviewers.
Main Results:
- Ten trials of reasonable quality were included in the analysis.
- Vacuum extraction was associated with significantly less maternal trauma (OR 0.41) and reduced need for anesthesia compared to forceps.
- Deliveries were more successful with vacuum extraction (OR 1.69), leading to fewer cesarean sections; however, neonatal cephalhaematomas and retinal hemorrhages were more frequent.
Conclusions:
- Vacuum extraction appears to lower maternal morbidity in assisted vaginal deliveries compared to forceps.
- The increased incidence of neonatal cephalhaematoma and retinal hemorrhages with vacuum extraction may be offset by its maternal benefits.
Related Concept Videos
01:29Suctioning the Nasopharyngeal Airway
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...