دورية أكاديمية
Vacuum delivery at The Maternity Hospital Kuala Lumpur: a comparison of metal and silicone cups.
| العنوان: | Vacuum delivery at The Maternity Hospital Kuala Lumpur: a comparison of metal and silicone cups. |
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| المؤلفون: | Lee HY; Department of Obstetrics and Gynaecology, Maternity Hospital, Jalan Pahang, Kuala Lumpur, Malaysia., Subramaniam N, Nordin MM |
| المصدر: | Singapore medical journal [Singapore Med J] 1996 Feb; Vol. 37 (1), pp. 55-60. |
| نوع المنشور: | Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wolters Kluwer - Medknow Country of Publication: India NLM ID: 0404516 Publication Model: Print Cited Medium: Print ISSN: 0037-5675 (Print) Linking ISSN: 00375675 NLM ISO Abbreviation: Singapore Med J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: July 2022- : [Mumbai] : Wolters Kluwer - Medknow Original Publication: Singapore, Singapore Medical Assn. |
| مواضيع طبية MeSH: | Metals* , Silicones*, Vacuum Extraction, Obstetrical/*methods, Contraindications ; Female ; Humans ; Infant, Newborn ; Outcome and Process Assessment, Health Care ; Pregnancy ; Prospective Studies ; Vacuum Extraction, Obstetrical/adverse effects |
| مستخلص: | Objective: To compare the advantages and disadvantages of the New Bird metal cups and silicone cups in terms of maternal and foetal outcome. To study the adverse effects and factors associated with failed vacuum deliveries. Design: A prospective randomised study of all vacuum deliveries from 1 December 1991 to 31 April 1992. The Hanshin electrical vacuum pump was used. Setting: A large obstetric unit-The Maternity Hospital Kuala Lumpur (MHKL). Subjects: Seventy-two consecutive patients where vacuum deliveries were indicated. Forty had metal and 32 had silicone cups. Another 7 vacuum deliveries using the manual vacuum pump were excluded. Main Outcome Measures: Success rate of vaginal delivery, birth canal injuries, post-partum haemorrhage, duration of hospital stay, Apgar score, foetal injuries (scalp-ecchymosis, haematomas) neonatal jaundice, the rate of special care nursery (SCN) admission and neonatal mortality rate. Results: Failure to deliver with silicone cups alone was 21.9% compared to 10% for metal cups alone. Material morbidities and serious foetal scalp injuries were almost the same in both cups. However, minor foetal scalp injuries were significantly lower with silicone cups. Maternal height and baby's weight had no independent predictive values for successful vacuum delivery. When the foetal head was palpable per abdomen, the failure rate was 54.5% compared to 8.2% when it was not. Failed vacuum deliveries were associated with increased maternal and foetal morbidities. Conclusion: Silicone cups and metal cups can be equally dangerous to the baby. Although our sample size was small, we recommend that vacuum delivery be avoided if the foetal head is palpable per abdomen. |
| المشرفين على المادة: | 0 (Metals) 0 (Silicones) |
| تواريخ الأحداث: | Date Created: 19960201 Date Completed: 19961204 Latest Revision: 20191210 |
| رمز التحديث: | 20231215 |
| PMID: | 8783915 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0037-5675 |
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