| Abstrakt: |
Objective: To compare the success, clinical outcomes, maternal and neonatal complication rates following Kiwi Omnicup or the Malmstrom metal cup in vacuum assisted delivery. Material and Methods: One hundred eighty eight vaginal deliveries which were achieved by the use of Kiwi Omnicup or the Malmstrom metal cup in Zeynep Kamil Women's Health Training and Research Hospital between January 2008 to March 2015 were screened from prospectively collected database. All cases were singleton, viable pregnancies with cephalic presentation. Groups were compared in terms of some maternal and fetal complications and morbidities including cephal hematoma, caput succadanum, hemorrhagic ischemic encephalopathy, molding, acidosis, hypothonia, shoulder distocia, meconium passage, maternal vaginal lacerations, blood hematoma, rib fructure, cervical laceration, 3rd and 4th degree lacerations and the uterine atonia. Results: Fetal complications were significantly different between groups. The rate of cephal hematoma was significantly higher in Malmstrom metal cup whereas the rate of fetal acidosis was significantly higher in group with Kiwi Omnicup (p<0.05). Also the rate of unsuccessful cases was significantly higher in Malmstrom metal cup group. There were 2 cases of fetal death in Kiwi Omnicup group, however no case of fetal death in other group. Conclusion: In our study, we have shown that there are some specific fetal complications for each tool and the rate of unsuccessful cases was significantly higher in Malmstrom metal cup group. We concluded that selection of vacuum extraction tool should be based on the knowledge of maternal fetal conditions, specific complications and the success rates of the tools. [ABSTRACT FROM AUTHOR] |
