Saratov JOURNAL of Medical and Scientific Research

Novichkov D.A.

Saratov State Medical University n.a. V.I. Razumovsky, Department of Obstetrics and Gynecology of Pediatric Faculty, Assistant Professor, Candidate of Medical Science

Analysis of Effectiveness and Safety of Assisted Delivery

Year: 2014, volume 10 Issue: №2 Pages: 346-349
Heading: Proceedings of all-Russia week of science with international participants Article type: Original article
Authors: Kozlova T.U., Khvorostukhina N.F., Novichkov D.A., Bebeshko O.I.
Organization: Saratov State Medical University
Summary:

Aim: to study the outcomes of labour after the application of «KIWI» vacuum-system. Materials and Methods. Retrospective analysis of labour records with vacuum-extraction of fetus (main group: n=35) and with emergency cesarean section (comparison group: n=18)on indications similar to those in the main group, has been undertaken. Results. High rate of extragenital pathology in groups (70,7% and 72,3%) as well as aggravated obstetric-gynecologic anamnesis (36,9% and 55,6%) has been revealed. Pregnancies of 50,7% women of the main group have been complicated by placentofetal insufficiency and chronic fetal hypoxia; in the comparison group 27,7% threatened miscarriage has been observed accordingly in 20% and 33,3%. Conditions for vacuum extraction have been the following: fetus asphyxia (52,3%), labour pains weakness (47,7%). Having evaluated the state of health of the new-born children of the main groupstraight complications (cephalohematomas, cervical injury, subaponeurotic hemorrhage, Duchen-Erb paresis, intraventricularhemorrage) have been observed in 53,8% of children. In the comparison group direct complications have been marked in 22,3% of cases. Conclusions. Comparatively high rate of labour traumatism in the main group may be explained by violations in conditions and techniques of vacuum-extractions as well as by non-observance of indications and contra-indications for the application of this operational method during the labour of pregnant women of high risk groups.

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