{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T23:30:27Z","timestamp":1787700627070,"version":"build-2784847793"},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,6,29]],"date-time":"2018-06-29T00:00:00Z","timestamp":1530230400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Otto Kranendonk Foundation"},{"name":"Netherlands Society of Tropical Medicine and International Health"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess perceptions of women undergoing vacuum extraction or second\u2010stage caesarean section (<jats:styled-content style=\"fixed-case\">SSCS<\/jats:styled-content>) in a tertiary referral hospital in sub\u2010Saharan Africa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective cohort study, with six\u2010month follow\u2010up, of women who gave birth to a term singleton in cephalic presentation by vacuum extraction (<jats:italic>n<\/jats:italic>\u00a0=\u00a0289) or <jats:styled-content style=\"fixed-case\">SSCS<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u00a0=\u00a0357) between 25 November 2014, to 8 July 2015, in Mulago Hospital, Uganda. Excluded were women who had failed vacuum extraction, severe birth complications and those whose babies had died. Outcome measures were birthing experience satisfaction, physical component summary (<jats:styled-content style=\"fixed-case\">PCS<\/jats:styled-content>) and mental component summary (<jats:styled-content style=\"fixed-case\">MCS<\/jats:styled-content>) of the <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\u201012 quality\u2010of\u2010life questionnaire, pain scores and dyspareunia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One day after vacuum extraction, 63.7% (181\/284) of women were feeling well <jats:italic>vs<\/jats:italic>. 48.1% (167\/347) after <jats:styled-content style=\"fixed-case\">SSCS<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.89; 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.37\u20132.61) and mean pain sores were 2.70 <jats:italic>vs<\/jats:italic>. 3.87 (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). In both groups, &gt;90% of women were satisfied with their birthing experience. At six weeks, in vacuum extraction <jats:italic>vs<\/jats:italic>. <jats:styled-content style=\"fixed-case\">SSCS<\/jats:styled-content>, mean pain sores were 0.40 <jats:italic>vs<\/jats:italic>. 0.89 (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001); mean <jats:styled-content style=\"fixed-case\">PCS<\/jats:styled-content> was 48.67 <jats:italic>vs<\/jats:italic>. 44.03 (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001); mean <jats:styled-content style=\"fixed-case\">MCS<\/jats:styled-content> was 52.80 <jats:italic>vs<\/jats:italic>. 51.23 (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.203); 40% (70\/175) <jats:italic>vs<\/jats:italic>. 28.3% (70\/247) of women had resumed sexual intercourse (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.69; 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.12\u20132.54) and 21.4% (15\/70) <jats:italic>vs<\/jats:italic>. 28.6% (20\/70) had dyspareunia (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.68; 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.32\u20131.47). No differences were found at six months after birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>One day and six weeks after birth, outcomes were better in women who had vacuum extraction. At six months, outcomes were similar. To promote quick recovery, vacuum extraction should be the first intervention considered in the second stage of labour.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13089","type":"journal-article","created":{"date-parts":[[2018,6,6]],"date-time":"2018-06-06T15:36:46Z","timestamp":1528299406000},"page":"914-922","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Birthing experience and quality of life after vacuum delivery and second\u2010stage caesarean section: a prospective cohort study in Uganda"],"prefix":"10.1111","volume":"23","author":[{"given":"Barbara","family":"Nolens","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Mulago National Referral Hospital Kampala Uganda"},{"name":"Department of Obstetrics and Gynaecology Canisius\u2010Wilhelmina Hospital Nijmegen The Netherlands"},{"name":"Athena Institute VU University Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"van den Akker","sequence":"additional","affiliation":[{"name":"Department of Obstetrics Leiden University Medical Center Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Lule","sequence":"additional","affiliation":[{"name":"Department of Obsterics and Gynaecology Kabale University Kabale Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sulphine","family":"Twinomuhangi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Mulago National Referral Hospital Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos","family":"van Roosmalen","sequence":"additional","affiliation":[{"name":"Athena Institute VU University Amsterdam The Netherlands"},{"name":"Department of Obstetrics Leiden University Medical Center Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josaphat","family":"Byamugisha","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Mulago National Referral Hospital Kampala Uganda"},{"name":"School of Medicine College of Health Sciences Makerere University Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,6,29]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.11.007"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14477"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-1052-3"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02331.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-015-3057-x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12500"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14304"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.2018.v108i2.12786"},{"key":"e_1_2_7_10_1","first-page":"CD005455","article-title":"Choice of instruments for assisted vaginal delivery","volume":"11","author":"O'Mahony F","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_11_1","unstructured":"Green\u2010top guideline no. 26: Operative vaginal delivery. 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