Commentary on ‘Maternal and child health after assisted vaginal delivery: five‐year follow up of a randomised controlled study comparing forceps and ventouse’

Vause, Sarah; Tower, Clare

doi:10.1111/1471-0528.13153

Cited by 3 publications

(3 citation statements)

References 39 publications

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“…11,12 After a steady decline in favour of vacuum extraction, there has been a trend reversal in obstetric management and renewed acceptance in national guidelines. 13 Recent studies on forceps delivery claim that peri-natal morbidity is low, [14][15][16][17] but there is also evidence that forceps delivery may be a major risk factor for pelvic floor trauma. 18 The risk of avulsion, i.e.…”

Section: Introductionmentioning

confidence: 99%

“…These associations are especially important because forceps deliveries have seen a substantial revival lately . After a steady decline in favour of vacuum extraction, there has been a trend reversal in obstetric management and renewed acceptance in national guidelines . Recent studies on forceps delivery claim that perinatal morbidity is low, but there is also evidence that forceps delivery may be a major risk factor for pelvic floor trauma .…”

Section: Introductionmentioning

confidence: 99%

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Delivery mode and pelvic organ prolapse: a retrospective observational study

Trutnovsky

Atan

Martin

et al. 2015

BJOG

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Objective To analyse the associations between delivery mode and symptoms and signs of pelvic organ prolapse (POP) in a cohort of symptomatic women.Design Retrospective observational study.Population A total of 1258 consecutive women attending a tertiary urogynaecological unit for the investigation of lower urinary tract or pelvic floor disorders between January 2012 and December 2014.Methods Obstetric history and clinical examination data were obtained from the unit database. Prolapse quantification on imaging was performed using stored four-dimensional translabial ultrasound volume data sets. Women were grouped into four groups according to the most traumatic delivery reported. The presence of symptoms and signs of POP were compared between delivery groups while controlling for potential confounders.Main outcome measures Prolapse symptoms, visual analogue score for prolapse bother, International Continence Society Prolapse Quantification System findings and ultrasound findings of anterior, central and posterior compartment descent.Results Nulliparae showed the lowest prevalence of most measures of POP, followed by women exclusively delivered by caesarean section. Highest prevalences were consistently found in women delivered at least once by forceps, although the differences between this group and women delivered by normal vaginal delivery and/or vacuum extraction were significant in three out of eight measures only. Compared with women in the caesarean section group, the adjusted odds ratios for reporting symptoms of prolapse were 2.4 (95% CI 1.30-4.59) and 3.2 (95% CI 1.65-6.12) in the normal vaginal delivery/vacuum extraction group and forceps group, respectively.Conclusions There is a clear link between vaginal delivery and symptoms and signs of pelvic organ prolapse in urogynaecological patients.Keywords Caesarean section, delivery, forceps, pelvic organ prolapse.Tweetable abstract Compared with caesarean section a history of vaginal delivery more than doubles the risk for POP.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Delivery mode and pelvic organ prolapse: a retrospective observational study

Trutnovsky

Atan

Martin

et al. 2015

BJOG

View full text Add to dashboard Cite

show abstract

“…Similarly, in the United States, as the frequency of cesarean sections has increased, the frequencies of vacuum and forceps deliveries have decreased inversely and proportionally, such that the reported frequencies of these methods in 2010 were 4% and 1%, respectively . In the UK, the frequency of cesarean sections has also increased; however, the frequency of forceps delivery has decreased to 4% while that of vacuum delivery has remained approximately the same, at 7% . The frequency of instrumental delivery in Japan as shown by large‐scale data is uncertain.…”

Section: Introductionmentioning

confidence: 99%

Complications with vacuum delivery from a forceps‐delivery perspective: Progress toward safe vacuum delivery

Seki

2018

J of Obstet and Gynaecol

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For delivery to be completed as successfully and quickly as possible, it is essential for obstetricians to have a good understanding of the process of vacuum delivery, and to have expertise in the relevant techniques. However, it is also necessary to modify the indications under which vacuum delivery is considered safe to perform, from fetal station ±0, that is, engagement of the fetal head, to station +2, or descent of the fetal head.

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Trends in vacuum and forceps delivery in teaching hospitals and academic health systems in West Java, Indonesia: A retrospective study

Hayati,

Ritonga,

Djuwantono

2024

SAGE Open Medicine

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Objectives: Recently, there has been a decline in the use of vacuums and forceps. This is due to complications that occur in the mother and baby as well as the operator’s ability to operate the instruments. Concerning Professional Education Standards for Obstetrics and Gynecology Specialists, the minimum skill that must be achieved by vacuum extraction and forceps is a minimum of five cases. This is difficult to achieve with the number of obstetrics and gynecology residents in West Java. Methods: A retrospective study was conducted using medical records based on the International Classification of Disease 10th Revision from 1 to 28 February 2023 at teaching hospitals and Academic Health System in West Java, namely Hasan Sadikin Hospital, Al-Ihsan Hospital Bandung, and Cikalong Wetan Hospital West Bandung, in the period 1 January 2018 to 31 December 2022. The main outcome was vacuum and forceps extraction with consecutive sampling. The relationship between maternal characteristics such as maternal age, parity, gestational age, and indication for delivery with vaginal operative delivery was descriptive statistics analyzed using IBM SPSS Statistics 26. Results: Trends indicate that the percentage of vaginal operative deliveries tends to be low, below 5%. Vacuum deliveries decreased from 0.75% in 2018 to 0.68% in 2022, while forceps deliveries decreased from 2.77% to 0.98% over the same period. Conclusion: This study concludes that there was an insufficiency of vacuum extraction and forceps delivery cases at the teaching hospital and Academic Health System in West Java to achieve a minimum case of vacuum and forceps. Further research studying how educational interventions improve operative delivery skills might be considered.

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Commentary on ‘Maternal and child health after assisted vaginal delivery: five‐year follow up of a randomised controlled study comparing forceps and ventouse’

Cited by 3 publications

References 39 publications

Delivery mode and pelvic organ prolapse: a retrospective observational study

Delivery mode and pelvic organ prolapse: a retrospective observational study

Complications with vacuum delivery from a forceps‐delivery perspective: Progress toward safe vacuum delivery

Trends in vacuum and forceps delivery in teaching hospitals and academic health systems in West Java, Indonesia: A retrospective study

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