title: [Standard versus "hand-pump" vacuum extraction device].
abstract: OBJECTIVE
  Clinical evaluation of a standard vacuum delivery device and "hand-pump" vacuum delivery device.
  
  
  METHODS
  Retrospective clinical study.
  
  
  METHODS
  Department of Obstetrics and Gynecology, City Hospital, Litomĕrice.
  
  
  METHODS
  In the period between January 1993 and the end of December 2003 there were 81 deliveries by vacuum at our department, 55 of which (67.90%) were with standard vacuum delivery device and 26 (32.10%) with "hand-pump" vacuum delivery device. We evaluated the differences in the following parameters: 1. basic characteristics--maternal age, parity, gestational age, birth weight and type of labor, 2. early maternal morbidity--the presence of episiotomy, perineal and vaginal tears, blood loss, the need of blood transfusion, duration of hospitalization and postpartum incontinentia urinae and alvi, 3. early neonatal morbidity--pH a. umbilicalis, Apgar score and the presence of newborn's trauma. The differences found in individual groups were then used for statistics and evaluated.
  
  
  RESULTS
  In comparison with standard vacuum delivery device the usage of "hand-pump" vacuum delivery device appears to be more convenient for its significantly higher reliability, especially due to construction and also for its favourable features at early neonatal morbidity.
  
  
  CONCLUSIONS
  We have proved that the "hand-pump" vacuum delivery device is in comparison with standard vacuum delivery device more favourable with newborns and more convenient to use for its high reliability.
authors.affiliation: Gynekologicko-porodnické oddĕleni Mĕstské nemocnice, Litomĕrice.
authors.forename: J
authors.initials: J
authors.lastname: Sláma
authors.forename: M
authors.initials: M
authors.lastname: Soltés
mesh_terms: D005260:Female; D006801:Humans; D011247:Pregnancy; D014620:Vacuum Extraction, Obstetrical / Q000295:instrumentation*