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Onset of vacuum-related complaints in neonates

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Abstract

Since vacuum-related neonatal morbidity has been described in many studies clinical observation of neonates is common practice after vacuum-assisted vaginal delivery. However, no guidelines are available regarding the required length of hospital stay of these infants, because little is known about the first onset of complaints due to vacuum extraction-related morbidity. In a prospective observational cohort study we found that vacuum extraction-related complaints occurred in term neonates within 10 h following birth. Mild to moderate morbidity was frequently seen, whereas severe morbidity was infrequently seen. Previous artificial delivery, Apgar score lower than 7 at 1 min, and birth weight >4.0 kg were risk factors for morbidity after vacuum extraction. We suggest that it is justified to discharge neonates at least 10 h after vacuum delivery when no vacuum extraction-related complaints have occurred.

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Abbreviations

NIPS:

Neonatal Infant Pain Score

FTP:

Failure to progress

FD:

Fetal distress

SD:

Standard deviation

OR:

Odds ratio

CI:

Confidence interval

NS:

Not significant

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Authors and Affiliations

  1. Department of Pediatrics, Hospital Rijnstate, 6800 TA, Arnhem, The Netherlands

    Mei-Nga Smit-Wu, Manon J. N. L. Benders, Wim Brussel & Frank Brus

  2. Department of Gynecology and Obstetrics, Rijnstate Hospital, Arnhem, The Netherlands

    Désiree M. W. G. Moonen-Delarue & Hans Zondervan

Authors
  1. Mei-Nga Smit-Wu
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  2. Désiree M. W. G. Moonen-Delarue
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  3. Manon J. N. L. Benders
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  4. Wim Brussel
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  5. Hans Zondervan
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  6. Frank Brus
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Corresponding author

Correspondence to Frank Brus.

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Competing interests: none

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Smit-Wu, MN., Moonen-Delarue, D.M.W.G., Benders, M.J.N.L. et al. Onset of vacuum-related complaints in neonates. Eur J Pediatr 165, 374–379 (2006). https://doi.org/10.1007/s00431-005-0054-3

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  • DOI: https://doi.org/10.1007/s00431-005-0054-3

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