{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:03:54Z","timestamp":1740135834623,"version":"3.37.3"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,11,28]],"date-time":"2014-11-28T00:00:00Z","timestamp":1417132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004828","name":"Grand Challenges Canada","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004828","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Currently available vacuum devices used to assist women undergoing complicated labour are unsuitable for use in low\u2010resource settings. The objective of this study was to evaluate the safety and feasibility of a new low\u2010cost vacuum device, named Koohi Goth Vacuum Delivery System (<jats:styled-content style=\"fixed-case\">KGVDS<\/jats:styled-content>), designed for use in low\u2010resource settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A hospital\u2010based, multicentre, prospective cohort study with no control group was conducted in Karachi, Pakistan. After training, <jats:styled-content style=\"fixed-case\">KGVDS<\/jats:styled-content> devices were made available for use by labour room staff at their discretion when instrumental delivery was indicated. Women to whom <jats:styled-content style=\"fixed-case\">KGVDS<\/jats:styled-content> was applied were followed from the start of labour until discharge. Feasibility was assessed in terms of successful expulsion of the foetal head following application of <jats:styled-content style=\"fixed-case\">KGVDS<\/jats:styled-content> and ease of use ratings. Safety was assessed by observing maternal and newborn post\u2010delivery outcomes prior to discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Koohi Goth Vacuum Delivery System was applied to 137 women requiring instrumental delivery, of whom 111 (81%; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a074\u201388%) successfully expelled the foetal head assisted by <jats:styled-content style=\"fixed-case\">KGVDS<\/jats:styled-content> and 103 (75%) stated that they would agree to use <jats:styled-content style=\"fixed-case\">KGVDS<\/jats:styled-content> again. There were no serious maternal or neonatal injuries or infections related to <jats:styled-content style=\"fixed-case\">KGVDS<\/jats:styled-content> use. The mean score for \u2018ease of use\u2019 given by doctors and midwives using the device was 8 of 10.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Koohi Goth Vacuum Delivery System was feasible and safe to use for assisting complicated deliveries in low\u2010resource hospitals in this initial evaluation. Our results indicate that this new device may have the potential to improve birth outcomes in settings where most mortality occurs and that further evaluations should be conducted.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.12427","type":"journal-article","created":{"date-parts":[[2014,11,4]],"date-time":"2014-11-04T03:55:59Z","timestamp":1415073359000},"page":"219-226","source":"Crossref","is-referenced-by-count":2,"title":["Prospective cohort study of a new vacuum delivery device to assist with complicated labour in low\u2010resource settings"],"prefix":"10.1111","volume":"20","author":[{"given":"Mishal","family":"Khan","sequence":"first","affiliation":[{"name":"Pakistan National Forum on Women's Health Karachi Pakistan"},{"name":"London School of Hygiene and Tropical Medicine London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farah Naz","family":"Hashmani","sequence":"additional","affiliation":[{"name":"Pakistan National Forum on Women's Health Karachi Pakistan"},{"name":"Research Alliance for Advocacy and Development Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sajjad","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Pakistan National Forum on Women's Health Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Owais","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Pakistan National Forum on Women's Health Karachi Pakistan"},{"name":"Research Alliance for Advocacy and Development Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shabnam S.","family":"Asim","sequence":"additional","affiliation":[{"name":"Sobraj Hospital Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasmin","family":"Wajahat","sequence":"additional","affiliation":[{"name":"Qatar Hospital Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoaib","family":"Sobani","sequence":"additional","affiliation":[{"name":"Pakistan National Forum on Women's Health Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shershah","family":"Syed","sequence":"additional","affiliation":[{"name":"Pakistan National Forum on Women's Health Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahad","family":"Qazi","sequence":"additional","affiliation":[{"name":"Research Alliance for Advocacy and Development Karachi Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,11,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00729.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)32890-0"},{"key":"e_1_2_6_4_1","unstructured":"Clinical Innovations LLC.OmniCup Information.http:\/\/www.clinicalinnovations.com\/products\/kiwi\/omnicup_information. 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