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    Ancheva I. A.


    About the author: Ancheva I. A.
    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
    • Avramenko N. V. Faktori riziku narodzhennya ditey iz distresom / N. V. Avramenko, O. V. Kabachenko, D. E. Barkovskiy // Zaporozhskiy meditsinskiy zhurnal. – 2014. – No. 2(83). – S. 62-63.
    • Borovikov V. P. Statistica. Iskusstvo analiza dannyih na kompyutere / V.P. Borovikov // - SPb.,Piter, - 2003,688 s.
    • Kukuruza I. L. Vakuum-ekstraktsiya ploda – odin iz faktorov snizheniya intranatalnoy smertnosti na regionalnom urovne / I.L. Kukuruza, I.A. Mogilevkina // Tavricheskiy mediko-biologicheskiy vestnik. – 2012. – T. 15, No. 2, ch. 1(58). – S. 186-189.
    • Nakaz MOZU  No.900 vid 27.12.2006 Pro zatverdzhennya klinichnogo protokolu z akusherskoyi dopomogi "Distres ploda pri vagitnosti ta pid chas pologiv». Elektronniy resurs. Rezhim dostupu: www.moz.gov.ua
    • Adams S.S. Fear of childbirth and duration of labour: a study of 2206 women with intended vaginal delivery / S.S. Adams, M. Eberhard‐Gran, A. Eskild // BJOG: An International Journal of Obstetrics & Gynaecology. – 2012. – Vol. 119(10). – P. 1238-1246.
    • Ashwal E. The association between fetal head position prior to vacuum extraction and pregnancy outcome / E. Ashwal, A. Wertheimer, A. Aviram [et al.] // Arch Gynecol Obstet. – 2016. – No.293(3). – P. 567-573.
    • Ahlberg M. Obstetric management in vacuum-extraction deliveries / M. Ahlberg, S. Saltvedt, C. Ekéus // Sex Reprod Healthc. – 2016. – Vol. 8. – P. 94-99.
    • Aberg K. Vacuum extraction in fetal macrosomia: registry data are useful / K. Aberg, M. Norman, K. Pettersson [et al.] // Acta Obstet Gynecol Scand. – 2017. – Vol. 95(10). – P. 1089-1096.
    • Hendler I. Choosing between bad, worse and worst: what is the preferred mode of delivery for failure of the second stage of labor? / I. Hendler, M. Kirshenbaum, M. Barg [et al.] // J Matern Fetal Neonatal Med. – 2016. – Vol. 14. – P. 1-4.
    • Handelzalts J. E. Indications for Emergency Intervention, Mode of Delivery, and the Childbirth Experience / J.E. Handelzalts, A. Waldman Peyser, H. Krissi [et al.] // PLoS ONE. – 2017. – Vol. 12 (1).
    • Schaal J.P. Comparison vacuum extractor versus forceps / J.P. Schaal, V. Equy, P. Hoffman // Gynecol Obstet Biol Reprod (Paris). – 2008. – №37(8). – P. 231-243.
    • Verhoeven C.J. Predictors for failure of vacuum-assisted vaginal delivery: a case-control study / C.J. Verhoeven, C. Nuij, C.R. Janssen-Rolf [et al.] //Eur J Obstet Gynecol Reprod Biol. – 2016. – № 200. – P. 29-34.
    Publication of the article «World of Medicine and Biology» №2(60), 2017 year, 009-012 pages, index UDK 618.5-089.888-07-036