title: [Comparing fetal and maternal morbidities between operative deliveries by Teissier's spatulas and Minicup vacuum extractor].
abstract: OBJECTIVE
  To compare fetal and maternal morbidities between operative deliveries by long Teissier's spatulas and Minicup vacuum extractor.
  
  
  METHODS
  A retrospective study was conducted from January 2003 to July 2008 at the maternity ward, Besançon teaching hospital. Operative deliveries in term cephalic singleton pregnancies performed by Teissier's spatulas (case group) were compared to previous deliveries by vacuum extractor Minicup (control group).
  
  
  RESULTS
  During the study period, 69 operative deliveries by Teissier's spatulas have been performed. No significant difference was found between the two groups in terms of maternal characteristics. Two third-degree perineal tears occurred following delivery by Teissier's spatulas with no third-degree tear in the vacuum extractor group (p = ns). The episiotomy rate in the Teissier's spatulas group was 15,9% compared to 11.6% in the vacuum extractor group (p = ns). Duration of operative delivery was significantly shorter in the Teissier's spatulas group (3.4 min vs 4.95 min; p = 0.007). Fetal morbidity was identical in the two groups.
  
  
  CONCLUSIONS
  This study found no significant difference in terms of fetal and maternal morbidities between operative deliveries by Teissier's spatulas and vacuum extractor. Moreover, as opposed to Thierry's spatulas, the long Tessier spatulas can be adequately used in accordance with patient's wish and practice guidelines recommending a policy of restrictive episiotomy. However, a larger study is needed to confirm these preliminary results.
authors.affiliation: Service de gynécologie-obstétrique, CHU Saint-Jacques, 25000 Besançon, France.
authors.forename: Z
authors.initials: Z
authors.lastname: Aouar
authors.forename: R
authors.initials: R
authors.lastname: Ramanah
authors.forename: M
authors.initials: M
authors.lastname: Mangin
authors.forename: F
authors.initials: F
authors.lastname: Leung
authors.forename: B
authors.initials: B
authors.lastname: Mulin
authors.forename: L
authors.initials: L
authors.lastname: Courtois
authors.forename: S
authors.initials: S
authors.lastname: Cossa
authors.forename: R
authors.initials: R
authors.lastname: Maillet
authors.forename: D
authors.initials: D
authors.lastname: Riethmuller
mesh_terms: D000328:Adult; D001720:Birth Injuries / Q000453:epidemiology; D001724:Birth Weight; D036861:Delivery, Obstetric / Q000009:adverse effects* / Q000295:instrumentation*; D004841:Episiotomy / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D009017:Morbidity; D009772:Obstetrical Forceps; D010502:Perineum / Q000293:injuries; D011247:Pregnancy; D012189:Retrospective Studies; D014552:Urinary Tract Infections / Q000453:epidemiology; D014620:Vacuum Extraction, Obstetrical / Q000009:adverse effects* / Q000295:instrumentation*