| Titre : | Comparison of maternal and infant outcomes between vacuum extraction and forceps deliveries. Commentary. (2001) |
| Auteurs : | SHI WU WEN . (.) ; Pierre BUEKENS ; Michael-S KRAMER ; Robert LISTON ; Sylvie Marcoux ; Arne OHLSSON ; R.E.G. SAUVE ; SHILIANG LIU . (.) ; Bureau of Reproductive and Child Health. Centre for Healthy Human Development. Health Canada. Ottawa. ON. CAN |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 153, n° 2, 2001) |
| Pagination : | 103-109 |
| Langues: | Anglais |
| Mots-clés : | Facteur risque ; Hémorragie cérébrale ; Etude comparée ; Forceps ; Effet secondaire ; Mère ; Nouveau né ; Homme ; Canada ; Amérique ; Femme ; Accouchement [pathologie] ; Système nerveux [pathologie] ; Vaisseau sanguin encéphale [pathologie] ; Appareil circulatoire [pathologie] ; Vaisseau sanguin [pathologie] ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST MZOR0x3H. Diffusion soumise à autorisation]. The authors conducted a population-based historical cohort study in the Canadian province of Quebec to assess the maternal and infant outcomes associated with vacuum extraction and forceps deliveries. The study database contains information on 305,391 mother-infant dyads (linked by a common institutional code and hospital chart number) for singleton live vaginal births with a nonbreech presentation at the gestational age of 37 or more completed weeks and a birth weight between 2,500 and 4,000 g during fiscal years 1991/1992 to 1995/1996. Of the births, 31,015 were delivered by vacuum extraction, and 18,727 were delivered by forceps. Compared with delivery by forceps, the adjusted risk ratios for third-/fourth-degree perineal laceration, intracranial hemorrhage, subdural or cerebral hemorrhage, intraventricular hemorrhage, subarachnoid hemorrhage, cephalhematoma, and neonatal in-hospital death were 0.48 (95% confidence interval : 0.45,0.50), 1.28 (95% confidence interval : 0.73,2.25), 0.97 (95% confidence interval : 0.49,1.93), 0.99 (95% confidence interval : 0.16,5.97), 5.44 (confidence interval : 1.26,23.43), 2.02 (95% confidence interval : 1.89,2.16), and 0.93 (95% confidence interval : 0.32,2.70), respectively. The authors conclude that vacuum extraction causes less maternal trauma but may increase the risk of cephalhematoma and certain types of intracranial hemorrhage (e.g., subarachnoid hemorrhage). |
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