19 Harley St, London, W1G 9QJ, UK

A randomised prospective trial of the obstetric forceps versus vacuum extraction using defined criteria

The objective of this study was to determine the safety of obstetrics forceps when used under strictly defined criteria compared to vacuum extraction for delivery in the second stage of labour. A randomised prospective trial was performed on 442 women undergoing instrumental delivery in the second stage. Two hundred and four women were in the forceps group and 238 in the vacuum group. When using forceps traction efforts to deliver the baby were kept to less than three and the head was always delivered in the occipito-anterior position. In the two groups there were no significant difference in the incidence of third-degree perineal tears, post-partum haemorrhage or ruptured uterus. Cervical tears were slightly higher in the forceps group. Babies delivered by vacuum extraction showed a higher incidence of cephalhaematomas. There was no significant difference in babies needing resuscitation at birth, admission to neonatal intensive care unit, stillbirth or neonatal death rates. The failure rate was significantly higher in the vacuum group. The time taken to complete the procedure was significantly less in the forceps group. Forceps deliveries when performed under defined criteria are as safe as vacuum deliveries to the mother with a lesser failure rate and a lower incidence of cephalhaematomas in the neonate compared with vacuum deliveries

Keywords : Adult,adverse effects,Birth Injuries,Cervix Uteri,etiology,Extraction,Obstetrical,Female,Head,Hematoma,Subdural,Humans,Incidence,Infant,Newborn,injuries,instrumentation,Labor Stage,Second,Obstetric Labor Complications,Obstetrical Forceps,Perineum,Pregnancy,Pregnancy Outcome,Prospective Studies,Safety,Time,Time Factors,Traction,Universities,Uterine Rupture,Vacuum,Vacuum Extraction,Obstetrical,, Randomised,Prospective,Trial, pain clinics near me

Date of Publication : 2002 Jul

Authors : Weerasekera DS;Premaratne S;

Organisation : Faculty of Medical Sciences, University of Sri Jayewardenepura, Sri Lanka. dsw@sltnet.lk

Journal of Publication : J Obstet Gynaecol

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/12521450

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

A randomised prospective trial of the obstetric forceps versus vacuum extraction using defined criteria | Vulvodynia pain relief

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810