Ancheva I. A.

RETROSPECTIVE ANALYSIS OF LABOUR OUTCOMES IN WOMEN WITH VACUUM EXTRACTION OF THE FETUS

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About the author:	Ancheva I. A.
Heading	CLINICAL MEDICINE
Type of article	Scentific article
Annotation	Not always childbirth runs smoothly, there are situations when one can not do without surgical interventions. Assisting a woman giving birth is often urgent. Timely and correctly chosen tactics of rendering obstetric care allows to maintain the health of a woman and reduce perinatal losses. One of the methods of surgical intervention in the second stage of labor is vacuum extraction of the fetus. The operation is sufficiently safe for the mother and fetus, if used according to the indications, taking into account both the conditions and contraindications, while observing the proper technique of performance. According to official statistics, the frequency of application of vacuum extraction of the fetus in European countries ranges from 2.8 to 16.7% of the total number of births. The frequency of failures in the application of the vacuum extractor according to the data of different authors is from 5.2% to 14.3%. The increase in the frequency of using the operation of vacuum extraction of the fetus in the second stage of labor allows to significantly expand the possibilities of operative delivery through the natural birth canal. An analysis of the cases will help a practical doctor in properly assessing the obstetric situation, predicting possible obstetric complications and reducing the level of perinatal losses. A retrospective analysis of 226 birth histories for the period 2012 - 2016 was conducted. Carried out with the use of vacuum extractions of the fetus. During the operation, in all available cases, the conditions for carrying out the vacuum extraction operation of the fetus were observed. The main indication for operative vaginal delivery using vacuum extraction of the fetus in the second stage of labor was the appearance of signs of fetal intranatal distress caused by the pathology of the umbilical cord: a tight cord with the umbilical cord, an absolutely or relatively short umbilical cord. In this group of women, labor was performed mainly against the background of combined spinal-epidural analgesia in 76% of cases. During the analyzed period, the level of vacuum extraction of the fetus increased 10 times (from 0.2 to 2.1%). The operation of applying obstetrical forceps for the last two years has not been carried out. Analyzing the level of complications in the mother and fetus, the author believes that the more expedient method of surgical delivery in the second stage of labor is the operation of vacuum extraction of the fetus. An analysis of the history of labor has shown that the use of vacuum extraction of the fetus in the second stage of labor is today the safest method of vaginal operative delivery for both women's health and the fetus. Intranatal fetal hypoxia, as the main indication for vacuum extraction, did not significantly affect the evaluation of fetal status at birth.
Tags	fetal distress, cardiotocogram, vacuum extraction of the fetus
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Publication of the article	«World of Medicine and Biology» №2(60), 2017 year, 009-012 pages, index UDK 618.5-089.888-07-036