Abstract

INTRODUCTION

The aim of this study is to investigate the rate of vacuum extraction impact on parity and intrauterine fetal condition

METHODS

This study was conducted at Diyarbakır Maternity Hospital in Turkey during 2012 by the 20050 newborns who were delivered at the obstetrics/gynecology clinics. Two hundred and forty nine of them were vacuum deliveries. Parity, maternal age, gestational duration, birth weight and APGAR(Activity,Pulse,Grimace,Appearance,Respiration) scores were recorded for each delivery.

RESULTS

Vacuum extraction was conducted in 249 cases (1.24 %). The features and outcomes of the 249 vacuum assisted deliveries were as follows. Average maternal age was 23,56±4,27 years, average gestational age was 38.73±1.56 weeks and average parity was 1.95±1.57. The average APGAR scores of the newborns were 7.43±1.33 by the first minute and 9.24±1.29 by the fifth minute.

Parity and neonatal birth weights were positively correlated with gestational duration. APGAR scores observed by the first and fifth minutes were negatively correlated with parity. There was no correlation between neonatal birth weights and APGAR scores at any time.

Parity was the only effective parameter on the APGAR scores by both the first and fifth minutes.

DISCUSSION AND CONCLUSION

According to the results of this study, vacuum extraction delivery rates are lower than most of the developed countries. Cesarean section rates were %25.4. Cesarean rates were higher than the suggested cesarean rates (%15) by World Health Organisation(WHO). Parity is the major factor that effect the APGAR scores of the neonates. Vacuum extraction may be suggested more often especially for the deliveries of low parity women to decrease the cesarean section rates.