Vacuum extraction delivery: 11 years of delivery experience, maternal and fetal outcomes

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Abstract

The frequency of operative vaginal births using vacuum extraction delivery, also known as fetal vacuum extraction delivery (FVE), varies significantly worldwide and comprises 2.8–16.7% of the total number of births, whereas in Russia it is no more than 1.23%. Improved models of the ventouse systems, along with obvious simplicity and convenience, make the FEV method widely and safely used.

Objective: To assess the outcomes of FVE during vaginal delivery (VD) and cesarean section (CS) for mothers and their newborns.

Materials and methods: A retrospective analysis of the outcome of 387 deliveries by FVE using the KIWI vacuum system was performed on the basis of the births and newborns histories at the 2nd Maternity Department of the Novokuznetsk Perinatal Center for the period of 2013–2023. Parity, duration of labor, course of the postpartum period in women and the condition of newborns were studied.

Results: The duration of the FVE was: 5.0 (5.0; 8.0) minutes for VD and 1.0 (1.0; 2.0) minute for CS. In 85% of VD cases and in 96% of CS cases, the postpartum period passed without complications. In 58% of VD cases and in 62% CS cases, the newborns had no complications and there were no cases of severe obstetric trauma. 83% of children were extracted in satisfactory condition, in 2% of CS cases, the death of the newborn occurred. Clinically significant injuries such as subgaleal hematomas and skull fractures were not registered.

Conclusion: When used in a timely manner, taking into account contraindications, observing the conditions and impeccable technique, FVE can be considered a safe procedure both for the mother and the fetus.

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About the authors

Svetlana V. Shramko

Novokuznetsk State Institute for Advanced Medical Studies of the Russian Medical Academy of Continuous Professional Education

Author for correspondence.
Email: shramko_08@mail.ru
ORCID iD: 0000-0003-1299-165X

Dr. Med. Sci., Associate Professor, Department of Obstetrics and Gynecology

Russian Federation, 5, Stroiteley Ave., Novokuznetsk, 654005

Marina V. Alekseeva

Kurbatov Novokuznetsk City Clinical Hospital No. 1

Email: marina13_68@mail.ru
ORCID iD: 0000-0001-7553-0856

Head of Obstetric Hospital No. 2 of the Perinatal Center

Russian Federation, 16, Izhevsky Dr., Novokuznetsk, 654031

Lyudmila V. Renge

Novokuznetsk State Institute for Advanced Medical Studies of the Russian Medical Academy of Continuous Professional Education

Email: l.renge@mail.ru
ORCID iD: 0000-0002-7237-9721

Dr. Med. Sci., Head of the Department of Obstetrics and Gynecology

Russian Federation, 5, Stroiteley Ave., Novokuznetsk, 654005

Anna E. Vlasenko

Digital Technologies and Platforms LLC

Email: vlasenkoanna@inbox.ru
ORCID iD: 0000-0001-6454-4216

Leading Expert

Russian Federation, Bldg. 1а, 57, Dubininskaya St., Moscow, 115054

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