Evaluation of the Effects of Vacuum Extraction Device in Assisted Vaginal Delivery on Both Mother and Fetus

Abstract

Background: Numerous vaginal delivery techniques have been recognized as significant risk
factors for fetal morbidity and mortality, as well as early and late mother morbidity, particularly
pelvic floor disease. Such techniques were mostly utilized for nulliparous deliveries .Although
long-term follow-up indicates no variation in pelvic floor function between women who
delivered using vacuum and those who delivered with forceps, the vacuum is regarded the
preferred tool due to a hypothesized reduction in maternal injury.
Aim of the Study:To evaluate the use of vacuum extraction device for assisted vaginal delivery
and its effects on mother and neonate.
Patients and Methods: a prospective cohort studyincluding 141 Pregnant females who need
assisted vaginal deliveries (AVD). All patients were subjected to complete history taking in
addition to general physical examination including whole abdominal and vaginal examination
like Vertex presentation; if Cervix was fully dilated, and the membranes ruptured, if the exact
position of the head was readily determined to achieve proper placement of the instrument,
assessment of caput and molding if the pelvis was deemed adequate.Vacuum cup application:
fulfilled follow-up criteria number of pulls: 3 or a smaller number of applications: 2 Duration of
procedure: less than 15 min assessment of anterior rotation from OT/OP
Results:The overall outcome exhibited that complicated cases were 38.3% of the studied group.
Complicated cases are significantly associated with older maternal age; Lower GA is also
significantly associated with 1-2 parity and no analgesia. Complicated cases were significantly
associated with longer duration of cup application and severe maternal effort and traction, the
higher number of pull also with no episiotomy and with Vacuum detachment.
Conclusion: Assisted delivery with a vacuum extractor rather than forceps seems to minimize
fetal morbidity and mortality in addition to early and late maternal morbidity, including pelvic
floor disease. Hence, applying a vacuum extraction device is a potential procedure for
achieving favorable outcomes on mothers and neonates.