Journal article
Duration of Operative Vaginal Delivery and Adverse Obstetric Outcomes
American journal of perinatology, Vol.37(5), pp.503-510
04/2020
DOI: 10.1055/s-0039-1683439
PMCID: PMC6754310
PMID: 30895577
Abstract
This study aimed to evaluate whether the number of vacuum pop-offs, the number of forceps pulls, or the duration of operative vaginal delivery (OVD) is associated with adverse maternal and perinatal outcomes.
This is a secondary analysis of a multicenter observational cohort of women who underwent an attempted OVD. Women were stratified by the duration of OVD and the number of pop-offs (vacuum) or pulls (forceps) attempted. Severe perineal lacerations, failed OVD, and a composite adverse neonatal outcome were compared by the duration of OVD and number of pop-offs or pulls.
Of the 115,502 women in the primary cohort, 5,325 (4.6%) underwent an attempt at OVD: 3,594 (67.5%) with vacuum and 1,731 (32.5%) with forceps. After adjusting for potential confounders, an increasing number of pop-offs was associated with an increased odds of the composite adverse neonatal outcome. However, an increasing duration of vacuum exhibited a stronger association with the composite adverse neonatal outcome. Similarly, the number of forceps pulls was less strongly associated with the composite adverse neonatal outcome compared with the duration of forceps application.
The duration of OVD may be more associated with adverse neonatal outcomes than the number of pop-offs or pulls.
Details
- Title: Subtitle
- Duration of Operative Vaginal Delivery and Adverse Obstetric Outcomes
- Creators
- Emily S Miller - Northwestern MedicineYinglei Lai - George Washington UniversityJennifer Bailit - MetroHealth Medical CenterUma M Reddy - National Institutes of HealthRonald J Wapner - Columbia UniversityMichael W Varner - University of UtahJohn M Thorp Jr - Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North CarolinaKenneth J Leveno - Southwestern Medical CenterSteve N Caritis - University of PittsburghMona Prasad - The Ohio State UniversityAlan T N Tita - University of Alabama at BirminghamGeorge R Saade - The University of Texas Medical Branch at GalvestonYoram Sorokin - Wayne State UniversityDwight J Rouse - Brown UniversitySean C Blackwell - Department of Obstetrics and Gynecology, Children's Memorial Hermann Hospital, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TexasJorge E Tolosa - Oregon Health & Science UniversityEunice Kennedy Shriver National Institute of Child Health Human Development Maternal-Fetal Medicine Units Network
- Contributors
- M Santillan (Contributor) - University of Iowa, Obstetrics and Gynecology
- Resource Type
- Journal article
- Publication Details
- American journal of perinatology, Vol.37(5), pp.503-510
- DOI
- 10.1055/s-0039-1683439
- PMID
- 30895577
- PMCID
- PMC6754310
- NLM abbreviation
- Am J Perinatol
- ISSN
- 0735-1631
- eISSN
- 1098-8785
- Grant note
- U10 HD027915 / NICHD NIH HHS UG1 HD040545 / NICHD NIH HHS U10 HD021410 / NICHD NIH HHS UG1 HD027915 / NICHD NIH HHS U10 HD040500 / NICHD NIH HHS UL1 RR025764 / NCRR NIH HHS UG1 HD053097 / NICHD NIH HHS UG1 HD034116 / NICHD NIH HHS U10 HD034116 / NICHD NIH HHS UG1 HD040500 / NICHD NIH HHS U10 HD053097 / NICHD NIH HHS U10 HD036801 / NICHD NIH HHS U10 HD053118 / NICHD NIH HHS U10 HD040545 / NICHD NIH HHS UL1 RR024989 / NCRR NIH HHS U10 HD040544 / NICHD NIH HHS U10 HD040512 / NICHD NIH HHS U10 HD034208 / NICHD NIH HHS UG1 HD040485 / NICHD NIH HHS U10 HD027869 / NICHD NIH HHS U10 HD040560 / NICHD NIH HHS U10 HD027917 / NICHD NIH HHS UG1 HD034208 / NICHD NIH HHS UG1 HD040560 / NICHD NIH HHS UG1 HD040544 / NICHD NIH HHS UG1 HD040512 / NICHD NIH HHS UG1 HD027869 / NICHD NIH HHS U10 HD040485 / NICHD NIH HHS UL1 TR002548 / NCATS NIH HHS U01 HD036801 / NICHD NIH HHS
- Language
- English
- Date published
- 04/2020
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9984318224402771
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