Vacuum extraction in cesarean delivery: An analysis of maternal and neonatal outcomes

Author: 
Tahereh Poordast, Tahereh Taheri, Athar Rasekh, Fatemeh Sadat Najib, Elham Askary
Abstract: 

Introduction: Vacuum extraction during particularly difficult cesarean delivery use by some surgen. This procedure may decrease the length of incision and extension of uterine incision and complications of C/S such as post operation bleeding and neuropathic pain. However, some cases reported that the routine use of vacuum in cesarean delivery may cause the neonatal subgaleal hemorrhage and intracranial hemorrhage to increase.
Material and methods: This Study has 114 participants who had elective cesarean delivery done in two groups; the first group (control: 64 participants) underwent C/S without vacuum extraction, while for the second group (experimental: 52 participants) C/S with vacuum extraction was performed. Bleeding, size of incision, neonatal Apgar score, and presence or absences of extension of uterine incision were evaluated by the surgeon. Each participant and her neonate were followed in two sessions after delivery.
Results: Neonatal subgaleal hematoma and intracranial bleeding did not occur in any groups. Neonatal Apgar score of vacuumed group was 50 (96.2%), and 66 (98.5%) of control group which was good (Apgar score 8-10). Incisional site burning sensation and extension of uterine incision not different between two groups (P>0.05).
Conclusion: The result of this study suggest that the routine use of vacuum extraction in cesarean section is safe for the neonate and mother but there is not a significant change seen in the size of skin incision. Incisional site burning sensation and extension of uterine incision were decreased too.

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