Am J Perinatol 2017; 34(13): 1306-1311
DOI: 10.1055/s-0037-1603507
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Failed Vacuum and the Long-Term Neurological Impact on the Offspring

Salvatore Andrea Mastrolia
1   Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel
2   Department of Obstetrics and Gynecology, Fondazione MBBM, University of Milano-Bicocca, Monza, Italy
,
Tamar Wainstock
3   Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
,
Eyal Sheiner
1   Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel
,
Daniella Landau
4   Department of Neonatology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel
,
Ruslan Sergienko
3   Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
,
Asnat Walfisch
1   Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel
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Publikationsverlauf

16. April 2017

20. April 2017

Publikationsdatum:
22. Mai 2017 (online)

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Abstract

Objective The objective of this study was to investigate the association between failed vacuum procedures and long-term pediatric neurological morbidity of the offspring (up to the age of 18 years).

Study Design We performed a population-based cohort study to assess the risk of long-term neurological morbidity, including children who were born following either a successful operative vaginal delivery or a failed procedure leading to an emergency cesarean delivery.

Results A total of 7,978 neonates underwent operative vaginal delivery during the study period, meeting the inclusion criteria. The procedure resulted in a successful vaginal delivery in 7,733 (96.9%) cases, while it failed in 245 (3.1%). Total neurological morbidity was comparable between the study groups (3.0 vs. 3.3%, p = 0.8). The Kaplan–Meier survival curve exhibited no difference in the cumulative incidence of total neurological morbidity (log rank, p = 0.967). In the Cox's regression model, a failed vacuum delivery was not associated with an increased long-term neurological morbidity, as compared with a successful procedure, after adjusting for confounders (adjusted hazard ratio: 1.04, 95% confidence interval: 0.5–2.1, p = 0.922).

Conclusion A failed vacuum delivery does not appear to be associated with an increased risk for neurological morbidity of the offspring studied up to 18 years following the event.

Note

This study was presented in part at the 37th Annual Meeting of the Society for Maternal–Fetal Medicine, Las-Vegas, January 2017.


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