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Vacuum-assisted caesarean delivery assessment of maternal & fetal outcome

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Original Article

Author Details : Manisha Agarwal*, Sweekrati Solanki, Sumedha Sachau

Volume : 10, Issue : 4, Year : 2023

Article Page : 415-420

https://doi.org/10.18231/j.ijogr.2023.080

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Abstract

Background: The baby is delivered via incisions made in the mother's abdomen and uterus during a Caesarean delivery, sometimes known as a C-section. Whether medically necessary or elective, caesarean sections have increased sharply in recent decades all throughout the world, exceeding the WHO-recommended 10-15% rate. Every effort should be taken to give cesarean sections to women in need rather than aiming to achieve a target rate, according to a 2015 WHO statement. Therefore, we must investigate the strategies that can improve CD's maternal and neonatal health condition. This study compares the outcomes for the mother and the newborn in the vacuum-assisted CD and manual CD groups.
Materials and Methods: A progressive study was conducted at Lucknow's Green cross Hospital between June 2012 and April 2018. 500 pregnant ladies took part in this study as participants. This research was approved by the institutional human ethical committee. 250 caesarean sections were performed as part of this cohort study, each with vacuum assistance utilizing a soft cup vacuum extractor on the fetal scalp and manual removal of the skull as usual with fundal compression as support. Due to the absence of uterine activity and amniotic fluid, all of the patients underwent preplanned caesarean sections.
Results: The study's findings showed that manual extraction Caesarean birth is inferior to vacuum-assisted Caesarean delivery. Additionally, it was noted that Vacuum Assisted Caesarean Delivery resulted in less uterine incision extension, estimated blood loss, and maternal discomfort.
Conclusion: There was no difference between Vacuum and Manual Extraction caesarean deliveries in terms of Apgar Score, the requirement for infant resuscitation, or admission to the NICU.

Keywords: Caesarean delivery, Vacuum and manual extraction, Neonatal health, Manual CD.

How to cite : Agarwal M, Solanki S, Sachau S, Vacuum-assisted caesarean delivery assessment of maternal & fetal outcome. Indian J Obstet Gynecol Res 2023;10(4):415-420

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