Neonatal Complications In Vacuum-Assisted Vaginal
Delivery...
Prevent Neonatal Complications in Vacuum Assisted Vaginal Delivery
Introduction
There were 3,978,497 births in the United States in 2015. Of which, cesarean and
vaginal deliveries are 32% and 68%, respectively. According to National Vital
Statistics Reports, 2.58% of deliveries used vacuum assisted vaginal delivery
(VAVD) in 2015 (Martin, et al., 2015). VAVD is wildly used due to rare severe
complications and ease of use. However, severe injury or death can result if used
improperly. The Agency for Healthcare Research and Quality (AHRQ) reported
nearly 160,000 cases of potentially avoidable maternal and neonatal injuries in 2006
(Lacker, 2012; Murphy, 2011). In 2007, Simonson et al. performed a study and found
that scalp edema, ... Show more content on Helpwriting.net ...
Changing in baby s heartbeat indicating a problem and an immediate delivery is
necessary.
Mother has a health condition.
Contraindications
Gestational age of 34 weeks or less.
The position of your baby s head isn t engaged.
Forceps assisted delivery is failed.
Suspicion of fetopelvic disproportion (advanced cranial molding, bone overlap,
caput).
The fetus has previously had fetal scalp sampling.
The fetus has a condition that affects the strength of his or her bones, such as
osteogenesis imperfecta, or a bleeding disorder, such as hemophilia.
The fetus s shoulders, arms, buttocks or feet are leading the way through the birth
canal.
The fetus head hasn t yet moved past the midpoint of the birth canal.
There is suspected cephalopelvic disproportion.
If the clinician cannot determine fetal position.
Known or suspected fetal macrosomia.
Complications
Maternal complications
Maternal injuries include cervical lacerations, vaginal hematomas, hemorrhage,
perineal tears, and anal sphincter injury.
Postoperative bleeding, hypovolemic shock, and unplanned hysterectomy.
Neonatal complications
Cephalhematoma, neonatal jaundice, and retinal hemorrhage.
Subgaleal hematoma (rare but potentially fatal complication).
Hypovolemic or hemorrhagic shock, or both (pallor, tachypnea, tachycardia, and
hypotension), and secondary coagulopathy.
How to Prevent Injuries?
Facilitate spontaneous vaginal deliveries by maternal support, upright or lateral