{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T21:15:59Z","timestamp":1715721359557},"reference-count":0,"publisher":"Wiley","issue":"s7","license":[{"start":{"date-parts":[[2014,12,8]],"date-time":"2014-12-08T00:00:00Z","timestamp":1417996800000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To undertake a five year follow up of a cohort of women and children delivered by forceps or vacuum extractor in a randomised controlled study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Follow up of a randomised controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>District general hospital in the West Midlands.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Follow up questionnaires were sent to 306 of the 313 women originally recruited at the North Staffordshire Hospital to a randomised controlled study comparing forceps and vacuum extractor for assisted delivery. Two hundred and twenty\u2010eight women responded (74\u00b75%) and all were included in the study; forceps (<jats:italic>n\u00a0<\/jats:italic>=\u00a0115) and vacuum extractor (<jats:italic>n\u00a0<\/jats:italic>=\u00a0113).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Bowel and urinary dysfunction, child vision assessment, and child development.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Maternal adverse symptoms at long term follow up were relatively common. Urinary incontinence of various severity was reported by 47%, bowel habit urgency was reported by 44% (98\/225), and loss of bowel control \u2018sometimes\u2019 or \u2018frequently\u2019 by 20% of women (46\/226). No significant differences between instruments were found in terms of either bowel or urinary dysfunction. Overall, 13% (20\/158) of children were noted to have visual problems. There was no significant difference in visual function between the two groups: ventouse 11\/86 (12\u00b78%), compared with forceps 9\/72 (12\u00b75%); odds ratio 0\u00b797, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0\u00b738\u20132\u00b750. Of the 20 children with visual problems, a family history was known in 18, and 17\/18 (94%) had a positive family history for visual problems. No significant differences in child development were found between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is no evidence to suggest that at five years after delivery use of the ventouse or forceps has specific maternal or child benefits or side effects.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.13210","type":"journal-article","created":{"date-parts":[[2014,12,8]],"date-time":"2014-12-08T22:27:39Z","timestamp":1418077659000},"page":"23-28","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Maternal and child health after assisted vaginal delivery: five\u2010year follow up of a randomised controlled study comparing forceps and ventouse"],"prefix":"10.1111","volume":"121","author":[{"given":"R. B.","family":"Johanson","sequence":"first","affiliation":[{"name":"Keele University Centre for Maternal and Child Health North Staffordshire Hospital Trust Newcastle\u2010under\u2010Lyme"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Heycock","sequence":"additional","affiliation":[{"name":"Keele University Centre for Maternal and Child Health North Staffordshire Hospital Trust Newcastle\u2010under\u2010Lyme"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Carter","sequence":"additional","affiliation":[{"name":"Keele University Centre for Maternal and Child Health North Staffordshire Hospital Trust Newcastle\u2010under\u2010Lyme"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. H.","family":"Sultan","sequence":"additional","affiliation":[{"name":"Mayday University Hospital Surrey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Walklate","sequence":"additional","affiliation":[{"name":"Keele University Centre for Maternal and Child Health North Staffordshire Hospital Trust Newcastle\u2010under\u2010Lyme"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. W.","family":"Jones","sequence":"additional","affiliation":[{"name":"Keele University Centre for Maternal and Child Health North Staffordshire Hospital Trust Newcastle\u2010under\u2010Lyme"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,12,8]]},"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1471-0528.13210","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.13210","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T04:53:02Z","timestamp":1694580782000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.13210"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12]]},"references-count":0,"journal-issue":{"issue":"s7","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1111\/1471-0528.13210"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.13210","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12]]},"assertion":[{"value":"1998-07-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1999-01-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-12-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}