ArticleObstetrics and gynecology2015
Maternal and Neonatal Outcomes by Attempted Mode of Operative Delivery From a Low Station in the Second Stage of Labor.
Article in Obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
18 citing papers in PubMed, 50 citations in OpenAlex.
- Transperineal ultrasonography assisted examination improves maternal and neonatal outcomes of forceps delivery: a propensity-score-matched analysis.Scientific reports · 2026Article
- Variation in outcome reporting in studies comparing vacuum-assisted birth versus second-stage caesarean section: A systematic review.European journal of obstetrics & gynecology and reproductive biology: X · 2026Article
- Operative Vaginal Delivery Compared to Cesarean After Failed Labor: A Population-Based Analysis of Neonatal and Maternal Outcomes.Children (Basel, Switzerland) · 2026Article
- Birth injuries in late preterm and term neonates after instrumental delivery: a prospective study on short-term and developmental outcomes.Frontiers in pediatrics · 2025Article
- The use of bubble charts in analyzing the global second-stage cesarean delivery rates: a systematic review.AJOG global reports · 2024Review
- Maternal and neonatal trauma during forceps and vacuum delivery must not be overlooked.BMJ (Clinical research ed.) · 2023Article
- Long-term neurodevelopmental outcome in children born after vacuum-assisted delivery compared with second-stage caesarean delivery and spontaneous vaginal delivery: a cohort study.BMJ paediatrics open · 2023Article
- Cost-effectiveness analysis of spontaneous vaginal delivery vs elective cesarean delivery for maternal outcomes in Colombia.AJOG global reports · 2023Article
- Association of white blood cell count after operative vaginal delivery with maternal adverse outcome: A retrospective cohort study.Annals of clinical epidemiology · 2023Article
- Can We Predict Feto-Maternal Adverse Outcomes of Vacuum Extraction?Geburtshilfe und Frauenheilkunde · 2022Article
- Maternal and neonatal trauma following operative vaginal delivery.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Article
- Maternal morbidity by attempted route of delivery in periviable birth.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2021Article
- Perinatal outcomes of babies delivered by second-stage Caesarean section versus vacuum extraction in a resource-poor setting, Nigeria - a retrospective analysis.BMC pregnancy and childbirth · 2020Article
- A Quality Improvement Project Utilizing a Clinical Practice Guideline in Women During Second-Stage Labor.The Journal of perinatal education · 2020Article
- Ecological association between operative vaginal delivery and obstetric and birth trauma.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2018Article
- Perinatal and maternal morbidity and mortality among term singletons following midcavity operative vaginal delivery versus caesarean delivery.BJOG : an international journal of obstetrics and gynaecology · 2018Article
- Temporal trends in severe maternal and neonatal trauma during childbirth: a population-based observational study.BMJ open · 2018Observational
- Perinatal and maternal morbidity and mortality after attempted operative vaginal delivery at midpelvic station.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo evaluate maternal and neonatal outcomes by attempted mode of operative delivery from a low station in the second stage of labor.
methodsRetrospective study of 2,518 women carrying singleton fetuses at 37 weeks of gestation or greater who underwent attempted forceps-assisted delivery, attempted vacuum-assisted vaginal delivery, or cesarean delivery from a low station in the second stage of labor. Primary outcomes were stratified by parity and included a maternal adverse outcome composite (postpartum hemorrhage, transfusion, endometritis, peripartum hysterectomy, or intensive care unit admission) and a neonatal adverse outcome composite (5-minute Apgar score less than 4, respiratory morbidity, neonatal intensive care unit admission, shoulder dystocia, birth trauma, or sepsis).
resultsIn nulliparous patients, the maternal adverse composite was not significantly different between women who underwent attempted forceps (12.1% compared with 10.8%, adjusted odds ratio [OR] 0.77, 95% confidence interval [CI] 0.40-1.34) or vacuum (8.3% compared with 10.8%, adjusted OR 0.68, 95% CI 0.40-1.16) delivery compared with cesarean delivery. Among parous women, the maternal adverse composite was not significantly different with attempted forceps (10.7% compared with 12.5%, adjusted OR 0.40, 95% CI 0.09-1.71) or vacuum (11.3% compared with 12.5%, adjusted OR 0.44, 95% CI 0.11-1.72) compared with cesarean delivery. Compared with neonates delivered by cesarean, the neonatal adverse composite was significantly lower among neonates born to nulliparous women who underwent attempted forceps (9.4% compared with 16.7%, adjusted OR 0.44, 95% CI 0.27-0.72) but not among those who underwent vacuum delivery (11.9% compared with 16.7%, adjusted OR 0.68, 95% CI 0.44-1.04). Among parous women, the neonatal adverse composite was not significantly different after attempted forceps (4.1% compared with 12.5%, adjusted OR 0.28, 95% CI 0.06-1.35) or vacuum (12.5% compared with 12.5%, adjusted OR 1.03, 95% CI 0.28-3.87) compared with cesarean delivery.
conclusionA trial of forceps delivery from a low station compared with cesarean delivery was associated with decreased neonatal morbidity among neonates born to nulliparous women. LEVEL OF EVIDENCE: II.
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