The Place of Vacuum Extraction in Prolapsed Pulsating Cord

Summary: Sixty-three consecutive cases of prolapsed pulsating cord managed by vacuum extraction and 52 others managed by Caesarean section are reviewed. Statistical comparison showed that there was no significant difference between both groups as regards the number of depressed babies at birth, fetal complications or fetal loss (P > 0.05). Postoperative maternal complications were more significant with Caesarean sections (P < 0.001). The vacuum extractor appears to offer an alternative to Caesarean section in selected cases of prolapsed pulsating cord. Satisfactory maternal and fetal results depend on adequate funic decompression, proper selection of cases, rapid interference and skill in vacuum extraction. When speed is observed, the instrument can be applied within 5 minutes of diagnosis and in most cases delivery achieved with 10 minutes traction.