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Failed Vacuum and the Long-term Hematologic Morbidity of the Offspring

Salvatore A Mastrolia1,2, Tamar Wainstock3, Eyal Sheiner1

  • 1Department of Obstetrics and Gynecology, Soroka University Medical Center.

Journal of Pediatric Hematology/Oncology
|April 10, 2018
PubMed

Insights

Failed vacuum delivery leading to cesarean birth does not increase long-term pediatric hematologic morbidity in offspring up to age 18. This study found no significant difference in blood disorders between successful and failed vacuum deliveries.

Area of Science:

  • Obstetrics and Gynecology
  • Pediatric Hematology
  • Perinatal Medicine

Background:

  • Vacuum-assisted delivery is a common obstetric procedure.
  • Failed vacuum delivery may necessitate emergency cesarean birth, raising concerns about potential offspring health implications.

Purpose of the Study:

  • To investigate the long-term risk of pediatric hematologic morbidity in children born after a failed vacuum delivery compared to successful vacuum delivery.

Main Methods:

  • Population-based cohort study including 7978 neonates.
  • Comparison of hematologic morbidity up to age 18 between successful (n=7733) and failed (n=245) vacuum deliveries.
  • Kaplan-Meier survival analysis and Cox proportional hazards modeling were used to assess outcomes and control for confounders.

Main Results:

  • Overall hematologic morbidity up to age 18 was similar between groups (1.6% vs. 0.8%, P=0.8).
  • Kaplan-Meier analysis showed no significant difference in cumulative incidence of hematologic morbidity (log rank, P=0.22).
  • Failed vacuum delivery was not independently associated with increased long-term hematologic morbidity after adjusting for confounders (aHR, 1.8; P=0.25).

Conclusions:

  • Failed vacuum delivery followed by cesarean birth does not appear to elevate the risk of pediatric hematologic morbidity in offspring up to 18 years.
  • These findings suggest that the mode of delivery, specifically failed vacuum extraction, is not a significant risk factor for long-term blood disorders in children.
Abstract

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