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The pliable obstetrical vacuum cup: application and opinions in The Netherlands.
Authors:J A Kuit  H C Wallenburg  F J Huikeshoven
Institution:Department of Obstetrics and Gynecology, Erasmus University School of Medicine and Health Sciences, Rotterdam, Netherlands.
Abstract:A questionnaire was sent to all hospital obstetric units in The Netherlands to obtain information about the use of soft cups for vacuum extraction. Over 90% of the 156 units responded. Vacuum extraction was used twice as often as forceps for instrumental vaginal delivery. In 12 units the flexible cup was applied in the majority of vacuum extractions and without specific restrictions. In 47 units a minority of vacuum extractions was performed with a flexible cup: its use was generally restricted to anticipated easy low outlet extractions. It is concluded that in The Netherlands the flexible cup is an accepted instrument used in about 13% of vacuum extraction deliveries.
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