title: Neonatal outcome following failed Kiwi OmniCup vacuum extraction.
abstract: OBJECTIVE
  To evaluate neonatal outcomes following failed vacuum extraction using the Kiwi OmniCup vacuum device.
  
  
  METHODS
  We conducted a retrospective study of 288 failed vacuum deliveries using the OmniCup device. The neonatal morbidity was recorded for each delivery.
  
  
  RESULTS
  Of the 288 women involved, 82.3% were nulliparous. In 245 cases (85.1%), failed vacuum was followed by successful forceps delivery; failed vacuum and failed forceps was followed by Caesarean section in 5.9%; failed vacuum was followed by spontaneous vaginal delivery in 3.8%; and failed vacuum was followed by Caesarean section in 5.2%. Cephalhematoma was diagnosed in 19.8% of the 288 infants delivered. There were no cases of neonatal intracranial or subgaleal hemorrhage.
  
  
  CONCLUSIONS
  Although the method of delivery following failed vacuum extraction is controversial, and most national guidelines warn of increased neonatal morbidity with subsequent use of forceps, the low morbidity in this study is reassuring. In our cohort, low forceps delivery (station > 2 cm) following failed vacuum extraction was not associated with serious neonatal morbidity.
authors: Department of Obstetrics and Gynaecology, Dalhousie University, Halifax NS.
authors: Dawn C
authors: DC
authors: Edgar
authors: Thomas F
authors: TF
authors: Baskett
authors: David C
authors: DC
authors: Young
authors: Colleen M
authors: CM
authors: O'Connell
authors: Cora A
authors: CA
authors: Fanning
mesh_terms: D036861:Delivery, Obstetric; D005260:Female; D006406:Hematoma / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000453:epidemiology* / Q000209:etiology; D009772:Obstetrical Forceps; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D017211:Treatment Failure; D014620:Vacuum Extraction, Obstetrical / Q000009:adverse effects