Vacuum extraction of the fetus: the version and controversy

Cover Page


Actuality. Although in the developed countries of the surgical vaginal delivery by a vacuum extraction of the fetus the widespread introduction, this method is not sufficiently popular in our country, due to the unfounded opinion of the highest injury to the mother and fetus. However, due to the improvement of models and the obvious advantages of simplicity and ease of use, the application of this operation becomes reality.

Aim. The assessment of the surgical vaginal delivery by a vacuum extraction of the fetus on the shape of parturient women and newborns.

Materials and methods. Made a retrospective analysis of the outcome of the 192 vaginal operative deliveries by using a single use vacuum system KIWI according to the labor histories and stories of newborns for 2014-2015 in regional perinatal center, Kursk. We studied the anamnestic data and the results of monitoring the pregnancy, childbirth, postpartum and newborn state. The calculations were made using the package of standard programs.

Results. In the majority of cases the postpartum period was uneventful, the cases of severe obstetric injury was not revealed. 80.21% of the children were recovered in a satisfactiry condition, although acute fetal hypoxia was observed in 90.1% of cases, suggesting the efficacy of using the vacuum extraction. Clinically significant lesions, such as subgaleal hematoma, skull fracture are not registered.

Conclusions. Analyzing the consequences of this method, we can confidently say that the operation of vacuum extraction with timely and correct use of a technical execution has no negative impact on the organisms of mother and child and is justified by positive outcomes in emergency situations.

Irina N Medvedevа
Kursk State Medical University
Russian Federation

сandidate of med. sciences, docent of obstetrics and gynecology, faculty of postgraduate education

Ksenia S Svyatchenko
Kursk State Medical University
Russian Federation

post-graduate student of department of obstetrics and gynecology faculty of postgraduate education

Yulia Y Barbashova
State Clinical Hospital No 4
Russian Federation


  • Hilder L, Zhichao Z, Parker M, et al. Australia’s Mothers and Babies 2012. Perinatal Statistics Series No 30. Cat. No PER69. Canberra: AIHW; 2014.
  • Martin JA, Hamilton BE, Osterman MJK, et al. Births: Final data for 2013. National vital statistics reports; Vol 64. No 1. Hyattsville, MD: National Center for Health Statistics; 2015.
  • Краснопольский В.И., Петрухин В.А., Логутова Л.С., и др. Вакуум-экстракция плода: методическое письмо. – М., 2012. [Krasnopol’skij VI, Petruhin VA, Logutova LS, et al. Vakuum-jekstrakcija ploda: metodicheskoe pis’mo. Moscow; 2012. (In Russ.)]
  • Абрамченко В.В. Акушерские операции. – СПб.: Нордмедиздат, 2005. [Abramchenko VV. Akusherskie operacii. Saint Petersburg: Nordmedizdat; 2005. (In Russ.)]
  • Айламазян Э.К., Кулаков В.И., Радзинский В.Е., Савельева Г.М. Акушерство. Национальное руководство. – М.: ГЭОТАР-Медиа, 2012. [Ajlamazjan JeK, Kulakov VI, Radzinskij VE, Savel’eva GM. Akusherstvo. Nacional’noe rukovodstvo. Moscow: GJeOTAR-Media; 2012. (In Russ.)]
  • Власюк В.В. Родовая травма и перинатальные нарушения мозгового кровообращения. – СПб.: Нестор-История, 2009. [Vlasjuk VV. Rodovaja travma i perinatal’nye narushenija mozgovogo krovoobrashhenija. Saint Petersburg: Nestor-Istorija; 2009. (In Russ.)]
  • Володин Н.Н. Неонатология. Национальное руководство. – М.: ГЭОТАР-Медиа, 2008. [Volodin NN. Neonatologija. Nacional’noe rukovodstvo. Moscow: GJeOTAR-Media; 2008. (In Russ.)]


Abstract - 17

PDF (Russian) - 22

Copyright (c) 2017 ECO-vector LLC

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.