Ismail Nor Azlin M, Saharan Wan Shahrul L, Zaleha Mahdy A, Jaafar Rohana, Muhammad Jamil A, Razi Zainul Rashid M
Department of Obstetrics & Gynecology, University Kebangsaan Malaysia, Jalan Yaacob Latiff, Kuala Lumpur, Malaysia.
J Obstet Gynaecol Res. 2008 Jun;34(3):350-3. doi: 10.1111/j.1447-0756.2007.00701.x.
To compare the success, clinical outcomes, and maternal and neonatal complications between the Kiwi Omnicup and the Malmstrom metal cup in vacuum assisted delivery.
This was a prospective randomized comparative trial. Women who required vacuum assisted vaginal delivery were randomized into the Kiwi Omnicup (KO) group and the Malmstrom metal cup (MM) group. The vacuum assisted deliveries were conducted according to hospital protocol. Details of the procedure and delivery outcomes including success and complications were analyzed.
One hundred and sixty-four women were recruited - 85 were assigned to vacuum assisted delivery using the KO and 79 the MM. One hundred percent delivery success was achieved with no significant differences between the two instruments in terms of maternal morbidity (P = 0.66). Six women in the MM group sustained post delivery complications in comparison to five in the KO group. Three babies were diagnosed with birth asphyxia in each group. More babies in the MM group were admitted to the Neonatal Intensive Care Unit (NICU) (10 babies versus 5 babies) and suffered complications (14 versus 12 babies), compared to the KO group, although the difference was not statistically significant. There were no intrapartum or neonatal deaths and of those admitted to the NICU, all were discharged within a week without any serious consequences.
Kiwi Omnicup is an effective alternative to the currently available Malmstrom metal cup for vacuum assisted delivery with no increase in maternal or neonatal morbidity or mortality.
比较在真空辅助分娩中，奇伟全能杯与马尔姆斯特伦金属杯的成功率、临床结局以及母婴并发症情况。
这是一项前瞻性随机对照试验。需要真空辅助阴道分娩的女性被随机分为奇伟全能杯（KO）组和马尔姆斯特伦金属杯（MM）组。真空辅助分娩按照医院规程进行。分析了操作细节和分娩结局，包括成功率和并发症情况。
招募了164名女性，85名被分配使用KO进行真空辅助分娩，79名使用MM。两组均实现了100%的分娩成功率，两种器械在产妇发病率方面无显著差异（P = 0.66）。MM组有6名女性产后出现并发症，而KO组有5名。每组有3名婴儿被诊断为出生时窒息。与KO组相比，MM组有更多婴儿被送入新生儿重症监护病房（NICU）（10名婴儿对5名婴儿）且出现并发症（14名对12名婴儿），尽管差异无统计学意义。没有发生产时或新生儿死亡，且入住NICU的婴儿均在一周内出院，没有任何严重后果。
对于真空辅助分娩，奇伟全能杯是目前可用的马尔姆斯特伦金属杯的有效替代品，且不会增加母婴发病率或死亡率。
