Assessment of vacuum-assisted vaginal delivery in a frank breech presentation

Bleu, G.; Deruelle, Philippe; Demetz, J.; Michel, S.; Dufour, P.; Depret, S.; Subtil, Damien

Document type :

Article dans une revue scientifique: Article original

DOI :

10.1016/j.gyobfe.2014.12.004

PMID :

25637037

Permalink :

http://hdl.handle.net/20.500.12210/18181

Title :

Assessment of vacuum-assisted vaginal delivery in a frank breech presentation

Author(s) :

Bleu, G. [Auteur]
Deruelle, Philippe [Auteur]
Demetz, J. [Auteur]
Michel, S. [Auteur]
Dufour, P. [Auteur]
Depret, S. [Auteur]
Subtil, Damien [Auteur]

Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Journal title :

Gynecologie, obstetrique & fertilite

Abbreviated title :

Gynecol. Obstet. Fertil.

Volume number :

Pages :

123-127

Publication date :

2015-02-01

ISSN :

1297-9589

English keyword(s) :

Vacuum extractor
Vaginal delivery
Breech presentation
Complications

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

OBJECTIVE: After verification of the eligibility criteria and with an obstetrician familiar with the specific maneuvers likely to be needed, vaginal delivery of breech presentations is possible. If problems arise during ...
Show more >OBJECTIVE: After verification of the eligibility criteria and with an obstetrician familiar with the specific maneuvers likely to be needed, vaginal delivery of breech presentations is possible. If problems arise during the active pushing phase of labor, vacuum extraction has been described in the literature for this uncommon condition with limited series. The aim of this study is to assess retrospectively vacuum extraction in frank breech presentation in our center. METHODS: This retrospective study of trials of vaginal delivery of fetuses in breech presentation at term compares cases according to whether they did or did not use a vacuum extraction. RESULTS: During a two-year period, 83 patients, whom had trials of vaginal delivery in breech presentations, reached the active pushing/bearing down stage after complete cervical dilatation. Vacuum assistance was applied in six of these (7.2 %). The failure rate for vaginal delivery was significantly higher in the group with compared to without vacuum extraction (33.3 % versus 6.5 %, P<0.05). Moreover, the mean pH at birth was significantly lower in the group with vacuum extraction (7.12±0.11 versus 7.20±0.08, P<0.05), and these infants more frequently had deep cutaneous injuries (66.7 % versus 26.0 %, P<0.05). CONCLUSIONS: In fetuses in breech presentation, when vaginal delivery failed, it seems to be safer for the fetuses to perform caesarean section rather than attempt vacuum extraction.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Université de Lille

Collections :

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2020-02-11T09:07:27Z

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