Vacuum-assisted C-sections render better maternal and fetal outcomes than manual extraction

There has been a significant rise in the rates of cesarean sections (C-sections) worldwide, whether it is medically necessary or elective, surpassing the recommended 10-15% cesarean delivery rate – by the World Health Organization (WHO). The focus should be on providing cesarean sections to women in need. Therefore, it is crucial to explore strategies that can enhance maternal and neonatal health conditions in C-sections. 

A recent study compared the outcomes for both mother and newborn in two groups – vacuum-assisted cesarean delivery (VACD) and manual cesarean delivery.

This prospective study conducted at Green Cross Hospital in Lucknow from 2012-2018 involved 500 pregnant women as participants. Overall, 250 C-sections were undertaken in this cohort study – utilizing vacuum assistance with a soft cup vacuum extractor on the fetal scalp and manual crown extraction, accompanied by fundal compression support. Preplanned C-sections were performed for all patients due to the absence of uterine activity and amniotic fluid.

It was found that VACD is superior to manual extraction cesarean birth. Furthermore, VACD resulted in less uterine incision extension, estimated blood loss, and maternal discomfort.

The results depicted no significant difference between Vacuum and Manual Extraction cesarean deliveries concerning Apgar Score, the need for infant resuscitation, or admission to the Neonatal Intensive Care Unit (NICU). The study demonstrated the superiority of VACD over manual extraction––in terms of reduced anticipated blood loss, uterine incision extension, and maternal pain.

Source: Agarwal M, Solanki S, Sachau S. Indian J Obstet Gynecol Res. 2023;10(4):415-420