{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T05:08:20Z","timestamp":1784610500760,"version":"3.55.0"},"reference-count":33,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2010,7,1]],"date-time":"2010-07-01T00:00:00Z","timestamp":1277942400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2010,7,1]],"date-time":"2010-07-01T00:00:00Z","timestamp":1277942400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejog.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"published-print":{"date-parts":[[2010,7]]},"DOI":"10.1016\/j.ejogrb.2010.03.024","type":"journal-article","created":{"date-parts":[[2010,5,1]],"date-time":"2010-05-01T05:01:40Z","timestamp":1272690100000},"page":"46-51","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":28,"title":["Spatula-assisted deliveries: a large cohort of 1065 cases"],"prefix":"10.1016","volume":"151","author":[{"given":"Isabelle","family":"Boucoiran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laure","family":"Valerio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdolreza","family":"Bafghi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerome","family":"Delotte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Bongain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"March (1)","key":"10.1016\/j.ejogrb.2010.03.024_bib1","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.clp.2007.11.006","article-title":"Head trauma after instrumental births","volume":"35","author":"Doumouchtsis","year":"2008","journal-title":"Clin Perinatol"},{"issue":"3","key":"10.1016\/j.ejogrb.2010.03.024_bib2","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1046\/j.1523-536X.2002.00182.x","article-title":"U.S. trends in obstetric procedures, 1990\u20132000","volume":"29","author":"Lola Jean Kozak","year":"2002","journal-title":"Birth"},{"issue":"November (11)","key":"10.1016\/j.ejogrb.2010.03.024_bib3","doi-asserted-by":"crossref","first-page":"920","DOI":"10.1016\/j.gyobfe.2003.09.007","article-title":"Instrumental extraction in 2002 in the \u201cAURORE\u201d hospital network: incidence and serious neonatal complications","volume":"31","author":"Dupuis","year":"2003","journal-title":"Gynecol Obstet Fertil"},{"issue":"November (2)","key":"10.1016\/j.ejogrb.2010.03.024_bib4","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/0020-7292(94)90349-2","article-title":"Worldwide survey of assisted vaginal delivery","volume":"47","author":"Hillier","year":"1994","journal-title":"Int J Gynaecol Obstet"},{"key":"10.1016\/j.ejogrb.2010.03.024_bib5","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD000446","article-title":"Vacuum extraction versus forceps for assisted vaginal delivery","volume":"2","author":"Johanson","year":"2000","journal-title":"Cochrane Database Syst Rev"},{"issue":"December (8)","key":"10.1016\/j.ejogrb.2010.03.024_bib6","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1016\/S0368-2315(05)82956-4","article-title":"Instrumental extraction with Thierry's spatula: 166 cases","volume":"34","author":"De Troyer","year":"2005","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"issue":"October (5)","key":"10.1016\/j.ejogrb.2010.03.024_bib7","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1111\/j.1479-828X.2005.00450.x","article-title":"Maternal and neonatal morbidity after first vaginal delivery using Thierry's spatulas","volume":"45","author":"Mazouni","year":"2005","journal-title":"Aust N Z J Obstet Gynaecol"},{"issue":"December (12)","key":"10.1016\/j.ejogrb.2010.03.024_bib8","first-page":"775","article-title":"Obstetrical value of Thierry's spatules. Results of 1,000 applications","volume":"60","author":"Guyomar","year":"1965","journal-title":"Rev Fr Gynecol Obstet"},{"issue":"April (4)","key":"10.1016\/j.ejogrb.2010.03.024_bib9","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.gyobfe.2005.03.007","article-title":"Thierry's spatula instrumental extraction: a study of foetal\u2013maternal morbidity","volume":"33","author":"Maisonnette-Escot","year":"2005","journal-title":"Gynecol Obstet Fertil"},{"issue":"October (10)","key":"10.1016\/j.ejogrb.2010.03.024_bib10","first-page":"553","article-title":"The use of Thierry's spatula at the University hospital center in Toulouse in 1988","volume":"85","author":"Fournie","year":"1990","journal-title":"Rev Fr Gynecol Obstet"},{"issue":"June (6)","key":"10.1016\/j.ejogrb.2010.03.024_bib11","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1016\/j.gyobfe.2008.03.013","article-title":"Maternal morbidity after Thierry's spatulas and vacuum deliveries","volume":"36","author":"Menard","year":"2008","journal-title":"Gynecol Obstet Fertil"},{"issue":"December","key":"10.1016\/j.ejogrb.2010.03.024_bib12","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1016\/0002-9378(64)90788-4","article-title":"Unarticulated forceps in operative obstetrics. The spatulas of thierry","volume":"90","author":"Lloyd","year":"1964","journal-title":"Am J Obstet Gynecol"},{"issue":"December (6)","key":"10.1016\/j.ejogrb.2010.03.024_bib13","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1016\/0002-9378(57)90007-8","article-title":"The spatules of Thierry","volume":"74","author":"Perez","year":"1957","journal-title":"Am J Obstet Gynecol"},{"issue":"December (Suppl. 8)","key":"10.1016\/j.ejogrb.2010.03.024_bib14","doi-asserted-by":"crossref","first-page":"S222","DOI":"10.1016\/S0368-2315(08)74760-4","article-title":"Spatulas: description, obstetrical mechanics, indications and contra-indications","volume":"37","author":"Simon-Toulza","year":"2008","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"issue":"September (8924)","key":"10.1016\/j.ejogrb.2010.03.024_bib15","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1016\/S0140-6736(94)92213-6","article-title":"Obstetric damage and faecal incontinence","volume":"344","author":"Kamm","year":"1994","journal-title":"Lancet"},{"issue":"July (1)","key":"10.1016\/j.ejogrb.2010.03.024_bib16","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1067\/mob.2003.547","article-title":"Risk factors for perineal injury during delivery","volume":"189","author":"Christianson","year":"2003","journal-title":"Am J Obstet Gynecol"},{"issue":"March (3)","key":"10.1016\/j.ejogrb.2010.03.024_bib17","article-title":"Internal anal sphincter defect influences continence outcome following obstetric anal sphincter injury","volume":"196","author":"Mahony","year":"2007","journal-title":"Am J Obstet Gynecol"},{"issue":"February (2)","key":"10.1016\/j.ejogrb.2010.03.024_bib18","first-page":"229","article-title":"Guidelines for operative vaginal birth. Number 148, May 2004","volume":"88","author":"SOGC","year":"2005","journal-title":"Int J Gynaecol Obstet"},{"issue":"December (Suppl. 8)","key":"10.1016\/j.ejogrb.2010.03.024_bib19","doi-asserted-by":"crossref","first-page":"S188","DOI":"10.1016\/S0368-2315(08)74757-4","article-title":"Indications and prerequisites for operative vaginal delivery: when, how and where?","volume":"37","author":"Sentilhes","year":"2008","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"issue":"1","key":"10.1016\/j.ejogrb.2010.03.024_bib20","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/S0020-7292(01)00434-9","article-title":"ACOG practice bulletin operative vaginal delivery","volume":"74","year":"2001","journal-title":"Int J Gynecol Obst"},{"key":"10.1016\/j.ejogrb.2010.03.024_bib21","series-title":"International classification of diseases, 10th revision (ICD-10-O70)","author":"WHO","year":"1996"},{"issue":"August (Spec No 1)","key":"10.1016\/j.ejogrb.2010.03.024_bib22","first-page":"4","article-title":"Prenatal health in 2002\u20132003. Survey of medical practice. Results from the Audipog sentinel network","volume":"32","author":"Mamelle","year":"2004","journal-title":"Gynecol Obstet Fertil"},{"issue":"October (4)","key":"10.1016\/j.ejogrb.2010.03.024_bib23","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1067\/mob.2001.117309","article-title":"The effect of sequential use of vacuum and forceps for assisted vaginal delivery on neonatal and maternal outcomes","volume":"185","author":"Gardella","year":"2001","journal-title":"Am J Obstet Gynecol"},{"issue":"May (3)","key":"10.1016\/j.ejogrb.2010.03.024_bib24","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/j.jgyn.2007.10.006","article-title":"Instrumental extractions using Thierry's spatulas: evaluation of the risk of perineal laceration according to occiput position in operative deliveries","volume":"37","author":"Courtois","year":"2008","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"issue":"1","key":"10.1016\/j.ejogrb.2010.03.024_bib25","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1111\/j.1471-0528.2007.01554.x","article-title":"Mediolateral episiotomy reduces the risk for anal sphincter injury during operative vaginal delivery","volume":"115","author":"De Leeuw","year":"2008","journal-title":"BJOG Int J Obstet Gynaecol"},{"issue":"September (3)","key":"10.1016\/j.ejogrb.2010.03.024_bib26","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1016\/j.ajog.2004.05.075","article-title":"Operative vaginal delivery: a comparison of forceps and vacuum for success rate and risk of rectal sphincter injury","volume":"191","author":"Damron","year":"2004","journal-title":"Am J Obstet Gynecol"},{"issue":"April (4)","key":"10.1016\/j.ejogrb.2010.03.024_bib27","first-page":"383","article-title":"Risk factors for third degree perineal ruptures during delivery","volume":"108","author":"de Leeuw","year":"2001","journal-title":"BJOG"},{"issue":"November (5)","key":"10.1016\/j.ejogrb.2010.03.024_bib28","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1016\/S0002-9378(96)70049-2","article-title":"A randomized prospective trial of the obstetric forceps versus the M-cup vacuum extractor","volume":"175","author":"Bofill","year":"1996","journal-title":"Am J Obstet Gynecol"},{"issue":"March (3)","key":"10.1016\/j.ejogrb.2010.03.024_bib29","first-page":"275","article-title":"Episiotomy: recommendations of the CNGOF for clinical practice (December 2005)","volume":"34","year":"2006","journal-title":"Gynecol Obstet Fertil"},{"issue":"July (7)","key":"10.1016\/j.ejogrb.2010.03.024_bib30","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1111\/j.1471-0528.2005.00564.x","article-title":"Cohort study of maternal and neonatal morbidity in relation to use of episiotomy at instrumental vaginal delivery","volume":"112","author":"Youssef","year":"2005","journal-title":"BJOG"},{"issue":"March (3)","key":"10.1016\/j.ejogrb.2010.03.024_bib31","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1016\/j.ajog.2004.09.035","article-title":"Factors predicting severe perineal trauma during childbirth: role of forceps delivery routinely combined with mediolateral episiotomy","volume":"192","author":"Hudelist","year":"2005","journal-title":"Am J Obstet Gynecol"},{"issue":"March (3)","key":"10.1016\/j.ejogrb.2010.03.024_bib32","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1097\/01.AOG.0000114985.22844.6d","article-title":"Immediate maternal and neonatal effects of forceps and vacuum-assisted deliveries","volume":"103","author":"Johnson","year":"2004","journal-title":"Obstet Gynecol"},{"issue":"July (7)","key":"10.1016\/j.ejogrb.2010.03.024_bib33","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.1007\/s10350-005-0050-8","article-title":"Frequency of persistent anal symptoms after first instrumental delivery","volume":"48","author":"Mazouni","year":"2005","journal-title":"Dis Colon Rectum"}],"container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211510001600?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211510001600?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T05:22:30Z","timestamp":1759555350000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0301211510001600"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,7]]},"references-count":33,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2010,7]]}},"alternative-id":["S0301211510001600"],"URL":"https:\/\/doi.org\/10.1016\/j.ejogrb.2010.03.024","relation":{},"ISSN":["0301-2115"],"issn-type":[{"value":"0301-2115","type":"print"}],"subject":[],"published":{"date-parts":[[2010,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Spatula-assisted deliveries: a large cohort of 1065 cases","name":"articletitle","label":"Article Title"},{"value":"European Journal of Obstetrics & Gynecology and Reproductive Biology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejogrb.2010.03.024","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2010 Elsevier Ireland Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}