ABSTRACT
Apresentamos um dispositivo descartável de manejo simples (Mityvac - Prism Healthcare, San Antonio, Texas) que, embora pouco difundido, já está disponível em alguns hospitais brasileiros e é devidamente licenciado pela Agência Nacional de Vigilância Sanitária (ANVISA). Sua aceitação na Inglaterra e Estados Unidos tem sido grande nos últimos 10 anos. Os principais tempos e cuidados no manuseio do equipamento são expostos
Subject(s)
Humans , Female , Pregnancy , Extraction, Obstetrical/instrumentation , Extraction, Obstetrical/trends , Parturition , Surgical Instruments , Vacuum Extraction, Obstetrical/methods , Vacuum Extraction, Obstetrical/trends , Obstetric Labor Complications/diagnosisABSTRACT
En Chile, el parto vaginal instrumentalizado está reducido al uso de fórceps y espátulas de Thierry. La tendencia mundial está dirigida al uso de vacuum extractor de copa blanda. El vacuum extractor presenta múltiples ventajas en comparación con el fórceps, tales como requerimientos analgésicos menores, técnica de fácil aprendizaje y menor incidencia de traumatismo neonatal. Presentamos nuestra experiencia con el uso de vacuum extractor de copa blanda, en casos de expulsivo detenido y sufrimiento fetal, como alternativa al fórceps. Se utilizó el vacuum en 3 pacientes, sin traumatismo materno y neonatal.
Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Adolescent , Adult , Vacuum Extraction, Obstetrical/trends , Vacuum Extraction, Obstetrical , Chile/epidemiology , Obstetrical Forceps/trends , Obstetrical ForcepsABSTRACT
Data, published by the ministry of health, on all deliveries that took place in its hospitals during the years 1401 H. through 1412 H. was used to estimate the incidence of CS deliveries and to determine whether CS rates reflected substituting the more invasive forms of vaginal delivery by CS delivery. Results revealed a significant upward trend in CS rates having increased from 4.3% in 1401 H. to 7.5% in 1412 H. and a significant downward trend in forceps and vacuum deliveries being decreased by 69.6% and 27.5% respectively. Significant negative correlations were found between the rates of CS deliveries and each of the rates of forceps deliveries [r = -.9125], vacuum deliveries [r =-.7733] and total instrumental deliveries [r =.8716]