Failed Vacuum and the Long-Term Neurological Impact on the Offspring

    loading  Checking for direct PDF access through Ovid

Abstract

Objective

The objective of this study was to investigate the association between failed vacuum procedures and long-term pediatric neurological morbidity of the offspring (up to the age of 18 years).

Study Design

We performed a population-based cohort study to assess the risk of long-term neurological morbidity, including children who were born following either a successful operative vaginal delivery or a failed procedure leading to an emergency cesarean delivery.

Results

A total of 7,978 neonates underwent operative vaginal delivery during the study period, meeting the inclusion criteria. The procedure resulted in a successful vaginal delivery in 7,733 (96.9%) cases, while it failed in 245 (3.1%). Total neurological morbidity was comparable between the study groups (3.0 vs. 3.3%, p = 0.8). The Kaplan-Meier survival curve exhibited no difference in the cumulative incidence of total neurological morbidity (log rank, p = 0.967). In the Cox's regression model, a failed vacuum delivery was not associated with an increased long-term neurological morbidity, as compared with a successful procedure, after adjusting for confounders (adjusted hazard ratio: 1.04, 95% confidence interval: 0.5-2.1, p = 0.922).

Conclusion

A failed vacuum delivery does not appear to be associated with an increased risk for neurological morbidity of the offspring studied up to 18 years following the event.

Related Topics

    loading  Loading Related Articles