Vacuum extraction. Use in a community hospital setting.
The history of vacuum extraction and its use in a specific community hospital setting is reviewed. Basic principles for successful use of the extractor are cited. Two hundred twenty-eight consecutive vacuum extraction cases occurring in an 18-month period are evaluated for indications and outcome. The most common indications were fetal distress, 41.6%; malposition of the vertex 35%; and dysfunctional labor 14.6%. Several subjects exhibited more than one condition influencing the decision to use the extractor. Particular reference is made to the occurrence of significant trauma to the fetal scalp in 18.7% of cases. Careful choice of candidates for vacuum extraction and adherence to principles of application and traction technique are emphasized to reduce the incidence of fetal scalp trauma.
D000293:Adolescent; D000328:Adult; D005113:Extraction, Obstetrical / Q000009:adverse effects; D005260:Female; D005316:Fetal Distress / Q000601:surgery; D006257:Head; D006406:Hematoma / Q000209:etiology; D006764:Hospitals, Community; D006801:Humans; D007231:Infant, Newborn; D007746:Labor Presentation; D007744:Obstetric Labor Complications / Q000601:surgery; D011247:Pregnancy; D012535:Scalp / Q000293:injuries; D014620:Vacuum Extraction, Obstetrical / Q000009:adverse effects