{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T11:41:36Z","timestamp":1771674096754,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,3,27]],"date-time":"2019-03-27T00:00:00Z","timestamp":1553644800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate what women who have experienced vacuum extraction or second stage caesarean section (<jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content>) would recommend as mode of birth in case of prolonged second stage of labour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective cohort study was conducted in a tertiary referral hospital in Uganda. Between November 2014 and July 2015, women with a term singleton in vertex presentation who had undergone vacuum extraction or second stage <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> were included. The first day and 6 months after birth women were asked what they would recommend to a friend: vacuum extraction or <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> and why. Outcome measures were: proportions of women choosing vacuum extraction <jats:italic>vs<\/jats:italic>. <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> and reasons for choosing this mode of birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The first day after birth, 293\/318 (92.1%) women who had undergone vacuum extraction and 176\/409 (43.0%) women who had undergone <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> recommended vacuum extraction. Of women who had given birth by <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> in a previous pregnancy and had vacuum extraction this time, 31\/32 (96.9%) recommended vacuum extraction. Six months after birth findings were comparable. Less pain, shorter recovery period, avoiding surgery and the presumed relative safety of vacuum extraction to the mother were the main reasons for preferring vacuum extraction. Main reasons to opt for <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> were having experienced <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> without problems, <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> presumed as being safer for the neonate, <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> being the only option the woman was aware of, as well as the concern that vacuum extraction would fail.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Most women would recommend vacuum extraction over <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content> in case of prolonged second stage of labour.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13222","type":"journal-article","created":{"date-parts":[[2019,2,26]],"date-time":"2019-02-26T06:46:08Z","timestamp":1551163568000},"page":"553-562","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Women's recommendations: vacuum extraction or caesarean section for prolonged second stage of labour, a prospective cohort study in Uganda"],"prefix":"10.1111","volume":"24","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 Vrije Universiteit Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"van den 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