{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T02:04:48Z","timestamp":1768442688820,"version":"3.49.0"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T00:00:00Z","timestamp":1631664000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To compare the incidence of cephalic marks in newborns exposed to operative vaginal delivery and those who are not. We examined the factors associated with alterations in neonatal well\u2010being and with cephalic mark occurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective study involving singleton term newborns delivered in a cephalic presentation. Newborns in the operative group were matched with newborns born on the same day without instruments required. A cephalic mark was defined as any mark or edema on the newborn's skin between 12 and 72\u00a0hours of life. Neonatal well\u2010being was assessed by analgesic consumption, neonatal discomfort (EDIN score of 1 or more), and prolonged hospitalization (4\u00a0days or more). We compared the operative and spontaneous groups and determined the relative risk (RR) for cephalic marks. We investigated the factors associated with alterations in neonatal well\u2010being and factors associated with cephalic mark occurrence in the case of operative delivery using multivariate logistic regression analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 135 newborns were included in each group. The incidence of cephalic marks was higher in the operative group (RR\u00a0=\u00a013.3 [6.0\u201329.5]). In case of operative delivery, cephalic marks were associated with neonatal discomfort (adjusted odds ratios [aOR]\u00a0=\u00a08.2 [2.2\u201330.6]) and analgesic consumption (aOR\u00a0=\u00a03.0 [1.2\u20137.1]). The number of cephalic marks was higher in cases with sequential use of vacuum and forceps (aOR\u00a0=\u00a03.5 [1.1\u201311.7]) and forceps only deliveries (aOR\u00a0=\u00a03.0 [1.1\u20138.1]) relative to vacuum only deliveries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Operative delivery increases the risk of neonatal cephalic marks, which can negatively affect neonatal well\u2010being.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12588","type":"journal-article","created":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T07:22:24Z","timestamp":1631690544000},"page":"202-211","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Cephalic marks and well\u2010being in newborns after operative vaginal delivery"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5772-6828","authenticated-orcid":false,"given":"Bertrand","family":"Gachon","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Poitiers University Hospital Poitiers University  Poitiers France"},{"name":"Movement\u2013Interactions\u2013Performance MIP Nantes University  Nantes France"},{"name":"INSERM CIC 1402 Poitiers University Hospital Poitiers University  Poitiers France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"Daressy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Poitiers University Hospital Poitiers University  Poitiers France"},{"name":"Poitiers Midwifery School Poitiers University  Poitiers France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanne","family":"Vanhecke","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Poitiers University Hospital Poitiers University  Poitiers France"},{"name":"Poitiers Midwifery School Poitiers University  Poitiers France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Juinier Louarn","sequence":"additional","affiliation":[{"name":"Poitiers Midwifery School Poitiers University  Poitiers France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Papin","sequence":"additional","affiliation":[{"name":"Poitiers Midwifery School Poitiers University  Poitiers France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrice","family":"Pierre","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Poitiers University Hospital Poitiers University  Poitiers France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Fritel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Poitiers University Hospital Poitiers University  Poitiers France"},{"name":"INSERM CIC 1402 Poitiers University Hospital Poitiers University  Poitiers France"},{"name":"INSERM Center for Research in Epidemiology and Population Health (CESP) Gender, Sexuality and Health Team Paris\u2010Sud University  Orsay France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,9,15]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"French National Perinatal survey.2016.http:\/\/www.xn\u2010\u2010epop\u2010inserm\u2010ebb.fr\/wp\u2010content\/uploads\/2017\/10\/ENP2016_rapport_complet.pdf(last consultation on the 14\/09\/2020)"},{"key":"e_1_2_7_3_1","unstructured":"Royal college of Obstetricians and Gyneaecologists. 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