title: Impact of parity and intrauterine fetal condition during vacuum extraction.
abstract: OBJECTIVE
  The main goal of this study was to investigate the impact of parity and intrauterine fetal condition on vacuum extraction.
  
  
  METHODS
  This study included 10742 newborns who were delivered during 2008 in obstetrics/gynecology clinics in Kosovo, Yugoslavia. One hundred fifty-eight of these were vacuum deliveries. Data were collected for indicators such as parity, maternal age, gestation duration, newborn vitality, and birth weight.
  
  
  RESULTS
  Vacuum extraction was used in 158 cases (1.47 %), of whom 116 (73%) were nulliparous and 42 (27%) were multiparous. In 121 cases (76.5%), vacuum extraction was performed in women with no history of abortion, and 101 (64%) of the women were aged 21-30 years. The main reason for vacuum extraction in 115 women (72%) was arrest (stasis) in the second stage of labor. Vacuum extraction was carried out at a gestational age of 34-40 weeks in 94 cases (59.5%). Amniotic fluid was clear in 125 cases (80%), and meconial amniotic fluid was seen in three cases (1.8%). Birth weight was > 3.5 kg in 77 infants (48.5%) and < 2.5 kg in seven (4.5%). Apgar score (AS) was 0-3 in 19 (12%), 4-7 in 129 (81.6%), and 8-10 in eight (6.4%) infants. In 91 cases (57.6%), newborn resuscitation was necessary and neonatal complications occurred in 11 cases (6.96%).
  
  
  CONCLUSIONS
  We conclude that vacuum extraction was performed mostly in nulliparous women aged 21-30 years. Most newborn infants had a birth weight of > 3.5 kg, the most frequent AS was 4-7, and newborn resuscitation was needed in most cases.
authors.affiliation: University Clinical Center of Kosova, Klinika Gjinekologjike-Obstetrike, "Rrethi i Spitalit" p.n. Prishtine 10000, Kosova. myrvetepacarada@yahoo.com
authors.forename: Myrvete
authors.initials: M
authors.lastname: Paçarada
authors.forename: Fehmi
authors.initials: F
authors.lastname: Zeqiri
authors.forename: Sejdullah
authors.initials: S
authors.lastname: Hoxha
authors.forename: Zeqir
authors.initials: Z
authors.lastname: Dervishi
authors.forename: Niltene
authors.initials: N
authors.lastname: Kongjeli
authors.forename: Gyltene
authors.initials: G
authors.lastname: Kongjeli
authors.forename: Hana
authors.initials: H
authors.lastname: Qavdarbasha
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007744:Obstetric Labor Complications / Q000628:therapy; D010298:Parity; D011247:Pregnancy; D014620:Vacuum Extraction, Obstetrical / Q000379:methods; D055815:Young Adult