Kiwi Omnicup versus Malmstrom metal cup in vacuum assisted delivery: a randomized comparative trial.
OBJECTIVE
To compare the success, clinical outcomes, and maternal and neonatal complications between the Kiwi Omnicup and the Malmstrom metal cup in vacuum assisted delivery.


METHODS
This was a prospective randomized comparative trial. Women who required vacuum assisted vaginal delivery were randomized into the Kiwi Omnicup (KO) group and the Malmstrom metal cup (MM) group. The vacuum assisted deliveries were conducted according to hospital protocol. Details of the procedure and delivery outcomes including success and complications were analyzed.


RESULTS
One hundred and sixty-four women were recruited - 85 were assigned to vacuum assisted delivery using the KO and 79 the MM. One hundred percent delivery success was achieved with no significant differences between the two instruments in terms of maternal morbidity (P = 0.66). Six women in the MM group sustained post delivery complications in comparison to five in the KO group. Three babies were diagnosed with birth asphyxia in each group. More babies in the MM group were admitted to the Neonatal Intensive Care Unit (NICU) (10 babies versus 5 babies) and suffered complications (14 versus 12 babies), compared to the KO group, although the difference was not statistically significant. There were no intrapartum or neonatal deaths and of those admitted to the NICU, all were discharged within a week without any serious consequences.


CONCLUSIONS
Kiwi Omnicup is an effective alternative to the currently available Malmstrom metal cup for vacuum assisted delivery with no increase in maternal or neonatal morbidity or mortality.
Ismail
Nor Azlin M
NA
Department of Obstetrics & Gynecology, University Kebangsaan Malaysia, Jalan Yaacob Latiff, Kuala Lumpur, Malaysia. azlinm@mail.hukm.ukm.my
Saharan
Wan Shahrul L
WS
Zaleha
Mahdy A
MA
Jaafar
Rohana
R
Muhammad
Jamil A
JA
Razi
Zainul Rashid M
ZR
D000328:Adult; D001720:Birth Injuries / Q000453:epidemiology; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal; D010502:Perineum / Q000293:injuries; D006473:Postpartum Hemorrhage / Q000453:epidemiology; D011247:Pregnancy; D011446:Prospective Studies; D016896:Treatment Outcome; D014620:Vacuum Extraction, Obstetrical / Q000009:adverse effects / Q000295:instrumentation*