title: [Trial vacuum extractor for cephalic engagement. 50 cases in French Guiana].
abstract: OBJECTIVE
  Considering a population with an African culture traditionally opposed to a caesarean section, vertex engagement with a vacuum extractor could be a good alternative.
  
  
  METHODS
  In a retrospective study of 50 cases of trial engagement with a vacuum extractor in French Guyana, there were 94% of vaginal deliveries.
  
  
  RESULTS
  A high level of shoulder dystocia (14%) was noted, and the failure of this technique was the consequence of disproportions between foetus and pelvis that had not been correctly diagnosed.
  
  
  CONCLUSIONS
  In this article, feasibility and obstetrical conditions to carry out a trial engagement with a vacuum extractor are discussed.
authors.affiliation: Service de gynécologie-obstétrique, centre hospitalier André Bouron, 97320 Saint-Laurent du Maroni, Guyane française. chefclinique.mater@svp.ap-hop-paris.fr
authors.forename: P
authors.initials: P
authors.lastname: Raynal
authors.forename: A E
authors.initials: AE
authors.lastname: Bossard
authors.forename: G
authors.initials: G
authors.lastname: Carles
mesh_terms: D000293:Adolescent; D000328:Adult; D001724:Birth Weight; D004420:Dystocia / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D005616:French Guiana; D005865:Gestational Age; D006801:Humans; D011247:Pregnancy; D012189:Retrospective Studies; D012782:Shoulder; D017211:Treatment Failure; D014620:Vacuum Extraction, Obstetrical / Q000295:instrumentation*