Bothuyne-Queste E, Deruelle P, Closset E, Depret S, Subtil D
Clinique d'obstétrique, hôpital Jeanne-de-Flandre, CHRU de Lille, 1, rue Eugène-Avinée, 59037 Lille cedex, France.
J Gynecol Obstet Biol Reprod (Paris). 2009 Apr;38(2):149-54. doi: 10.1016/j.jgyn.2008.05.015. Epub 2008 Dec 17.
To compare the effectiveness of two single-use vacuum devices, the Kiwi Omnicup and the Mitysoft Bell.
This retrospective study was conducted during two different periods: from January 15th to March 14th to assess the Kiwi Omnicup and from March 15th to June 15th for the Mitysoft Bell. The primary outcome was the successful completion of delivery with the allocated instrument. Secondary outcomes were fetal scalp trauma and maternal perineal lesions. All deliveries were performed by similar teams.
Thirty-nine patients were included in the Kiwi Omnicup group and 48 in the Mitysoft Bell group. Compared to the Kiwi Omnicup, the Mitysoft Bell was associated with a greater number of cup detachments (41.7% vs. 10.3%; p<0.01) and a significantly higher rate of failure (31.3% vs. 12.8%). Rates of substantial scalp trauma and maternal trauma were similar in both groups.
The Mitysoft Bell is not as successful at achieving a vaginal delivery as the Kiwi Omnicup. This could be explained by the shape of the cup.
比较两种一次性真空吸引器——奇异果全能杯(Kiwi Omnicup)和米蒂索夫特钟形杯(Mitysoft Bell)的有效性。
本回顾性研究在两个不同时期进行:1月15日至3月14日评估奇异果全能杯,3月15日至6月15日评估米蒂索夫特钟形杯。主要结局是使用分配的器械成功完成分娩。次要结局是胎儿头皮创伤和产妇会阴损伤。所有分娩均由相似的团队进行。
奇异果全能杯组纳入39例患者,米蒂索夫特钟形杯组纳入48例患者。与奇异果全能杯相比,米蒂索夫特钟形杯的杯体脱落次数更多(41.7%对10.3%;p<0.01),失败率显著更高(31.3%对12.8%)。两组的严重头皮创伤和产妇创伤发生率相似。
米蒂索夫特钟形杯在实现阴道分娩方面不如奇异果全能杯成功。这可能由杯体形状来解释。