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Publicly Available Published by De Gruyter August 25, 2012

How safe is preterm operative vaginal delivery and which is the instrument of choice?

Siobhan Corcoran, Niamh Daly, Maeve Eogan, Mary Holohan, Tom Clarke and Michael Geary

Abstract

Objective: The objective of this study was to determine neonatal outcomes in preterm operative vaginal delivery given the current paucity of data available to guide clinicians.

Study design: A retrospective review of 64 cases was conducted, and neonatal outcomes were compared to spontaneous vaginal deliveries in similar gestations. The primary outcomes studied were death and occurrence of intraventricular haemorrhage. Secondary outcomes included admission to NICU, Apgar <3 at 5 min, ventilation requirement, jaundice requiring treatment, culture-proven sepsis and necrotising enterocolitis. The study was conducted in a stand-alone maternity unit of approximately 9000 deliveries per year.

Results and conclusions: We concluded that although vacuum delivery is avoided in preterm infants, outcomes were similar to forceps deliveries of similar gestations.


Corresponding author: Siobhan Corcoran Rotunda Hospital Parnell Square Dublin 1 Ireland Tel.: +353 87 6560308

Received: 2012-5-1
Revised: 2012-7-3
Accepted: 2012-7-13
Published Online: 2012-08-25
Published in Print: 2013-01-01

©2012 by Walter de Gruyter Berlin Boston

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