Menu Close

Neonatal Outcomes and Operative Vaginal Delivery versus Cesarean Delivery

Citation

Contag, Stephen A.; Clifton, Rebecca G.; Bloom, Steven L.; Spong, Catherine Y.; Varner, Michael W.; Rouse, Dwight J.; Ramin, Susan M.; Caritis, Steve N.; Peaceman, Alan M.; & Sorokin, Yoram, et al. (2010). Neonatal Outcomes and Operative Vaginal Delivery versus Cesarean Delivery. American Journal of Perinatology, 27(6), 493-499. PMCID: PMC6122599

Abstract

We compared outcomes for neonates with forceps-assisted, vacuum-assisted, or cesarean delivery in the second stage of labor. This is a secondary analysis of a randomized trial in laboring, low-risk, nulliparous women at >/=36 weeks' gestation. Neonatal outcomes after use of forceps, vacuum, and cesarean were compared among women in the second stage of labor at station +1 or below (thirds scale) for failure of descent or nonreassuring fetal status. Nine hundred ninety women were included in this analysis: 549 (55%) with an indication for delivery of failure of descent and 441 (45%) for a nonreassuring fetal status. Umbilical cord gases were available for 87% of neonates. We found no differences in the base excess ( P = 0.35 and 0.78 for failure of descent and nonreassuring fetal status) or frequencies of pH below 7.0 ( P = 0.73 and 0.34 for failure of descent and nonreassuring fetal status) among the three delivery methods. Birth outcomes and umbilical cord blood gas values were similar for those neonates with a forceps-assisted, vacuum-assisted, or cesarean delivery in the second stage of labor. The occurrence of significant fetal acidemia was not different among the three delivery methods regardless of the indication.

URL

http://dx.doi.org/10.1055/s-0030-1247605

Reference Type

Journal Article

Year Published

2010

Journal Title

American Journal of Perinatology

Author(s)

Contag, Stephen A.
Clifton, Rebecca G.
Bloom, Steven L.
Spong, Catherine Y.
Varner, Michael W.
Rouse, Dwight J.
Ramin, Susan M.
Caritis, Steve N.
Peaceman, Alan M.
Sorokin, Yoram
Sciscione, Anthony C.
Carpenter, Marshall W.
Mercer, Brian M.
Thorp, John M., Jr.
Malone, Fergal D.
Iams, Jay D.

PMCID

PMC6122599