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Abstract
The aim of the research – examination of indications, conditions and outcomes for a woman and a newborn after a vaginal operative delivery by applying a vacuum extractor of the KIWI system.
Material and methods. A retrospective analysis was conducted of 495 stories of women giving birth, of fetal vacuum extraction of fetus for 3 years (2014-2016). This amounted to 2.8 % of all births occurred in the perinatal center during this time.
Results. The operation of vacuum extraction of the fetus was carried out for acute fetal hypoxia in 73.3 % of cases, and due to weakness of the labor force – in 26.6 % of cases with a gestation period of 38-41 weeks of gestation. The Apgar score was 7-8 points in 79.3 % of newborns, 6-7 in 18.3 %, 4-5 in 1.8 %, and 2 newborns needed resuscitation.
Сonclusions. Operative delivery through the use of vacuum extraction of the fetus is a method of delivery that is safe for the mother and fetus, with strict observance of the conditions, contraindications and proper technique of its performance. The use of modern methods of vaginal delivery allows to reduce the percentage of cesarean section in modern midwifery.
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Aylamazyan EK, Serov VN, Radzinskiy VYe, Savel'yeva GM. National leadership. Short edition. Moscow: GEOTAR-Media, 2015. 608 p. Russian (Айламазян Э.К., Серов В.Н., Радзинский В.Е., Савельева Г.М. Акушерство. Национальное руководство. Краткое издание. М.: ГЭОТАР-Медиа, 2015. 608 с.)
Abramchenko VV. Obstetric surgeries. St. Petersburg: Nordmedizdat, 2005. P. 341-387. Russian (Абрамченко В.В. Акушерские операции. СПб.: Нордмедиздат, 2005. С. 341-387)
Kravchenko YeN, Lopushanskiy VG, Bashmakova NV. The role of predicting intranatal risk factors. Obstetrics and gynecology. 2008; 3: 57-61. Russian (Кравченко Е.Н., Лопушанский В.Г., Башмакова Н.В. Роль прогнозирования интранатальных факторов риска //Акушерство и гинекология. 2008. № 3. С. 57-61)
Krasnopol'skiy VI, Petrukhin VA, Logutova LS, Tumanova VA, Akhvlediani KN, Mel'nikov AP et al. Vacuum extraction of fruit: a methodical letter. M., 2012. Russian (Краснопольский В.И., Петрухин В.А., Логутова Л.С., Туманова В.А, Ахвледиани К.Н., Мельников А.П. и др. Вакуум-экстракция плода: методическое письмо. М., 2012)
Provision of specialized medical care for operative vaginal delivery in the presence of a live fetus (using obstetric forceps or using a vacuum extractor or delivery using another obstetric manual). Clinical recommendations (clinical protocol). Ministry of Health of Russia of August 23, 2017. Russian (Оказание специализированной медицинской помощи при оперативных влагалищных родах при наличии живого плода (с помощью акушерских щипцов или с применением вакуум-экстрактора или родоразрешение с использованием другого акушерского пособия). Клинические рекомендации (клинический протокол). Минздрав России от 23.08.2017)
Martin JA, Hamilton BE, Osterman MJ, Curtin SC, Matthews TJ. Births: Final data for 2013. National Vital Statistics Reports. 2015; 64(1): 1-65
Miksovsky P, Watson WJ. Obstetric vacuum extraction: state of the art in the new millennium. Obstet Gynec Surv. 2011; 56(11): 736-751
Kravchenko YeN, Bashmakova NV. The importance of intranatal fetal protection in improving perinatal outcomes. Russian Bulletin of the Obstetrician-Gynecologist. 2008; 8(2): 25-29. Russian (Кравченко Е.Н., Башмакова Н.В. Значение интранатальной охраны плода в улучшении перинатальных исходов //Российский вестник акушера-гинеколога. 2008. Т. 8, № 2. С. 25-29)