Onset of vacuum-related complaints in neonates

European Journal of Pediatrics
Mei-Nga Smit-WuFrank Brus

Abstract

Since vacuum-related neonatal morbidity has been described in many studies clinical observation of neonates is common practice after vacuum-assisted vaginal delivery. However, no guidelines are available regarding the required length of hospital stay of these infants, because little is known about the first onset of complaints due to vacuum extraction-related morbidity. In a prospective observational cohort study we found that vacuum extraction-related complaints occurred in term neonates within 10 h following birth. Mild to moderate morbidity was frequently seen, whereas severe morbidity was infrequently seen. Previous artificial delivery, Apgar score lower than 7 at 1 min, and birth weight >4.0 kg were risk factors for morbidity after vacuum extraction. We suggest that it is justified to discharge neonates at least 10 h after vacuum delivery when no vacuum extraction-related complaints have occurred.

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Jul 15, 2009·Journal de gynécologie, obstétrique et biologie de la reproduction·O Baud
Nov 6, 2007·American Journal of Obstetrics and Gynecology·Thomas F BaskettAlexander C Allen
Jul 4, 2012·Journal of Child Neurology·Marjolein J C SchotLevinus A Bok
Nov 15, 2017·The Clinical Journal of Pain·Thameur RakzaJulien De Jonckheere
Dec 15, 2020·American Journal of Obstetrics and Gynecology·Emily J HottonUNKNOWN ASSIST Study Team

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