{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T22:49:33Z","timestamp":1789685373384,"version":"4.0.1"},"reference-count":44,"publisher":"Georg Thieme Verlag KG","issue":"11","license":[{"start":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T00:00:00Z","timestamp":1662508800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geburtshilfe Frauenheilkd"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction Vacuum extraction (VE) is an important modality in modern obstetrics, yet sometimes results in maternal or neonatal adverse outcomes, which can cause a lifetime\n          disability. We aimed to characterize potential risk factors for adverse outcomes that in retrospect would have led the physician to avoid the procedure.<\/jats:p><jats:p>\n          Materials and Methods Retrospective cohort of 3331 singleton pregnancies, \u2265\u00a034\u00a0w delivered by VE. 263 deliveries (7.9%) incurred a VE-related feto-maternal adverse outcome, defined\n          as one or more of the following: 3\u20134th-degree perineal laceration, subgaleal hematoma, intracranial hemorrhage, shoulder dystocia, clavicular fracture, Erb\u2019s palsy or fracture of humerus.\n          3068 deliveries (92.1%) did not have VE-related adverse outcomes. Both groups were compared to determine potential risk factors for VE adverse outcomes.<\/jats:p><jats:p>\n          Results Multivariable regression found seven independent risk factors for VE-related feto-maternal adverse outcomes: Nulliparity \u2013 with an odds ratio (OR) of 1.82 (95%\n          CI\u00a0=\u00a01.11\u20132.98, p\u00a0=\u00a00.018), epidural anesthesia (OR 1.99, CI\u00a0=\u00a01.42\u20132.80, p\u00a0&lt;\u00a00.001), Ventouse-Mityvac (VM) cup (OR 1.86, CI\u00a0=\u00a01.35\u20132.54, p\u00a0&lt;\u00a00.001), prolonged second stage as\n          indication for VE (OR 1.54, CI\u00a0=\u00a01.11\u20132.15, p\u00a0=\u00a00.010), cup detachment (OR 1.66, CI\u00a0=\u00a01.18\u20132.34, p\u00a0=\u00a00.004), increasing procedure duration (OR 1.07 for every additional minute,\n          CI\u00a0=\u00a01.03\u20131.11, p\u00a0&lt;\u00a00.001) and increasing neonatal birthweight (OR 3.42 for every additional kg, CI\u00a0=\u00a02.33\u20135.02, p\u00a0&lt;\u00a00.001). Occiput anterior (OA) position was a protective factor (OR\n          0.62, CI\u00a0=\u00a00.43\u20130.89, p\u00a0=\u00a00.010).<\/jats:p><jats:p>\n          Conclusions VE-related adverse outcomes can be correlated to clinical characteristics, such as nulliparity, epidural anesthesia, VM cup, prolonged second stage as indication for VE,\n          cup detachment, prolonged procedure duration and increasing neonatal weight. OA position was a protective factor. This information may assist medical staff to make an informed decision\n          whether to choose VE or cesarean delivery (CD).<\/jats:p>","DOI":"10.1055\/a-1904-6025","type":"journal-article","created":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T22:49:49Z","timestamp":1662590989000},"page":"1274-1282","source":"Crossref","is-referenced-by-count":4,"title":["Can We Predict Feto-Maternal Adverse Outcomes of Vacuum Extraction?"],"prefix":"10.1055","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7944-0532","authenticated-orcid":false,"given":"Gal","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel"},{"name":"Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanoch","family":"Schreiber","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel"},{"name":"Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hila","family":"Shalev Ram","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel"},{"name":"Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Ovadia","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel"},{"name":"Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gil","family":"Shechter-Maor","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel"},{"name":"Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tal","family":"Biron-Shental","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel"},{"name":"Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,9,7]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"e70","DOI":"10.1111\/1471-0528.16092","article-title":"Assisted Vaginal Birth: Green-top Guideline No. 26","volume":"127","author":"DJ Murphy","year":"2020","journal-title":"BJOG"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"e149","DOI":"10.1097\/AOG.0000000000003764","article-title":"Operative Vaginal Birth: ACOG Practice Bulletin, Number 219","volume":"135","author":"[Anonym]","year":"2020","journal-title":"Obstet 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Maternal risk factors and pregnancy outcome","volume":"46","author":"E Sheiner","year":"2001","journal-title":"J Reprod Med"}],"container-title":["Geburtshilfe und Frauenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1904-6025.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,10]],"date-time":"2023-02-10T10:59:24Z","timestamp":1676026764000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1904-6025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,7]]},"references-count":44,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,11,3]]},"published-print":{"date-parts":[[2022,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1904-6025","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0016-5751","1438-8804"],"issn-type":[{"value":"0016-5751","type":"print"},{"value":"1438-8804","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,7]]}}}