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Vacuum extraction for non-rotational and rotational assisted vaginal birth
Affiliation:1. Division of Reproductive Health, Department of Women''s and Children''s Health, Karolinska Institute, Stockholm, Sweden;2. MK2, Department of Obstetrics, Karolinska University Hospital, Stockholm, Sweden;3. Sykehuset- Innlandet HF.Elverum- Hamar, Norway;4. Sophiahemmet, BB Sophia, Stockholm, Sweden;1. OMNI Research Group, Department of Obstetrics and Gynecology, University of Ottawa, Ottawa ON;2. Huaihua Medical College, Hunan, P.R. China;3. Ottawa Hospital Research Institute, Clinical Epidemiology Program, Ottawa ON;4. BORN Ontario (Better Outcomes Registry and Network), Ottawa ON;5. Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa ON
Abstract:
Vacuum-assisted birth is a safe mode of birth in the presence of a skilled provider. Vacuum extraction can avoid prolonged second stage of labour, birth asphyxia in the presence of foetal distress or maternal pushing where contraindicated. Vacuum-assisted births – particularly those in midpelvic rotational births – have been increasingly traded for caesarean births, although the latter are generally associated with potentially a greater risk to women and (future) children. In this article, (contra)indications and the basics of vacuum technique are elaborated. A specific section is dedicated to vacuum extraction for rotational birth. If these techniques are known, trained and practiced by obstetric care givers, then vacuum extraction has tremendous potential to make childbirth safer.
Keywords:Obstetrics  Vacuum extraction  Obstetrical  Labour stage  Second  Pregnancy
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