Turkmen Sahruh
Department of Clinical Sciences, Obstetrics and Gynaecology, Sundsvalls Research Unit, Umeå University, Umeå, Sweden.
J Obstet Gynaecol Res. 2015 Feb;41(2):207-13. doi: 10.1111/jog.12516. Epub 2014 Sep 26.
To evaluate the effects of different types of vacuum cups on maternal and neonatal outcomes following assisted vaginal delivery.
A retrospective cohort study was undertaken of all vacuum-assisted deliveries performed over a period of 2 years. Patients were divided into two groups according to whether a Kiwi OmniCup (n = 230) or Malmström metal cup (n = 98) was used. Maternal outcomes included maternal genital tract injury and total blood loss. Neonatal outcomes included Apgar score, umbilical cord blood gases, neonatal scalp injury and time spent in the neonatal unit.
Maternal or neonatal outcomes and failure rates did not differ between the two groups, however, the duration of the procedure and the fundal pressure maneuver was more frequent in the Malmström group.
The results of this study suggest that the Kiwi OmniCup and Malmström metal cup vacuum extractors are safe and functionally effective for vacuum-assisted delivery.
评估不同类型的吸杯对阴道助产术后母婴结局的影响。
对两年内所有真空辅助分娩进行回顾性队列研究。根据使用的是奇异果全能杯(n = 230)还是马尔姆斯特伦金属杯(n = 98)将患者分为两组。产妇结局包括产妇生殖道损伤和总失血量。新生儿结局包括阿氏评分、脐血气、新生儿头皮损伤和在新生儿病房的住院时间。
两组之间的母婴结局和失败率没有差异,然而,马尔姆斯特伦组的手术时间和宫底按压操作更为频繁。
本研究结果表明,奇异果全能杯和马尔姆斯特伦金属杯真空吸引器对于真空辅助分娩是安全且功能有效的。