Late in the second stage, options for delivery of the fetus in the OP include: CD, rotational forceps delivery, direct forceps delivery from the OP position, and vacuum delivery
. Cesarean delivery.
The ratio of forceps to vacuum delivery
according to this study is 4:1 but currently vacuum has worldwide acceptance because of technical simplicity to apply and relatively less maternal trauma, so using vacuum for OVD should be encouraged.
In a study done in Chhattisgarh, India, the overall mean age was 23.81+-3.6 years.13 In our study, vacuum delivery
was observed in 93.25% cases and forceps delivery in 6.77% cases.
of % t' value Significance Cases Full-term vaginal 18 24.0 17.821 0.000 delivery with RMLE (FTVD with RMLE) Assisted breech 3 4.0 extraction Outlet forceps delivery 21 28.0 with RMLE Vacuum Delivery
0 0.0 LSCS 33 44.0 Table 8: Indications for LSCS.
Our assisted delivery rate was 0.52% for vacuum delivery
and 0.15% for forceps delivery.
CHICAGO--The conventional teaching that pregnant women with congenital heart disease should undergo a passive second stage of labor assisted by forceps or vacuum delivery
has been called into question.
Results: The subjects undergoing forceps delivery had a significantly higher Apgar score (8.36+-1.27) at 1 minute in comparison to those subjected to vacuum delivery
Ebke was negligent in failing to act on Atkinson's requests for a cesarean delivery, 2) failing to recognize that the distress and maternal labor patterns indicated a cesarean delivery was necessary, and 3) performing a vacuum delivery
rather than a cesarean delivery.
Nevertheless the liability is such that we have to have good indications for a vacuum delivery
and use the right methods, have the right number of pop-offs and the correct duration, because you will be held responsible for it if you don't follow the rules."
"Nevertheless the liability is such that we have to have good indications for a vacuum delivery
and use the right methods, have right number of pop-offs and the correct duration, because you will be held responsible for it if you don't follow the rules."
(2,16,24) An RCT found clinical third-degree tears in 16% of women with forceps-assisted deliveries, compared with 7% of vacuum-assisted deliveries; the authors concluded that, when circumstances allow, vacuum delivery
should be attempted first (acknowledging however that 23% of vacuum deliveries failed and proceeded to a forceps extraction, a sequence associated with increased injury).