L'anxiété ou le stress peuvent affecter le travail et augmenter le besoin d'assistance comme la ventouse.
AnxiétéStress
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"name": "Comment déterminer si une ventouse est nécessaire ?",
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"text": "La nécessité d'une ventouse est évaluée en cas de travail prolongé ou de détresse fœtale."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une utilisation de ventouse ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent une fatigue maternelle, une anomalie de la présentation ou une souffrance fœtale."
}
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"@type": "Question",
"name": "Quels examens précèdent l'accouchement par ventouse ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un examen pelvien et une surveillance fœtale sont effectués avant l'utilisation de la ventouse."
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{
"@type": "Question",
"name": "Comment évaluer la position du fœtus ?",
"position": 4,
"acceptedAnswer": {
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"text": "La position fœtale est évaluée par palpation abdominale et échographie si nécessaire."
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"@type": "Question",
"name": "Quels critères excluent l'utilisation de la ventouse ?",
"position": 5,
"acceptedAnswer": {
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"text": "Les contre-indications incluent des anomalies pelviennes ou une présentation de siège."
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{
"@type": "Question",
"name": "Quels symptômes peuvent nécessiter une ventouse ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes comme une fatigue extrême ou une détresse fœtale peuvent nécessiter une ventouse."
}
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{
"@type": "Question",
"name": "Quels signes de détresse fœtale sont préoccupants ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des variations anormales du rythme cardiaque fœtal peuvent indiquer une détresse fœtale."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une fatigue maternelle ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "La fatigue maternelle se manifeste par une incapacité à pousser efficacement lors de l'accouchement."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques précèdent l'accouchement par ventouse ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent des contractions fréquentes et une dilatation cervicale avancée."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent alerter sur une complication ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des saignements vaginaux ou une douleur intense peuvent signaler des complications potentielles."
}
},
{
"@type": "Question",
"name": "Comment prévenir la nécessité d'une ventouse ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une bonne préparation à l'accouchement et un suivi prénatal régulier peuvent réduire les risques."
}
},
{
"@type": "Question",
"name": "Quels conseils pour une grossesse saine ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir une alimentation équilibrée, faire de l'exercice et éviter le stress sont essentiels."
}
},
{
"@type": "Question",
"name": "Comment gérer le travail pour éviter des complications ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des techniques de respiration et de relaxation peuvent aider à gérer le travail efficacement."
}
},
{
"@type": "Question",
"name": "Quels facteurs de risque peuvent être évités ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter le tabagisme et l'alcool pendant la grossesse peut réduire les complications."
}
},
{
"@type": "Question",
"name": "Comment se préparer mentalement à l'accouchement ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Participer à des cours de préparation à l'accouchement peut aider à réduire l'anxiété."
}
},
{
"@type": "Question",
"name": "Comment se déroule l'accouchement par ventouse ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le médecin place la ventouse sur la tête du fœtus et applique une légère traction pendant les contractions."
}
},
{
"@type": "Question",
"name": "Quelles sont les étapes de la procédure ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les étapes incluent la préparation, la mise en place de la ventouse et l'extraction du fœtus."
}
},
{
"@type": "Question",
"name": "Quels médicaments peuvent être administrés ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques ou des anesthésiques locaux peuvent être administrés pour le confort de la mère."
}
},
{
"@type": "Question",
"name": "Quelle est la durée de la procédure ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "La procédure d'accouchement par ventouse dure généralement de quelques minutes à une demi-heure."
}
},
{
"@type": "Question",
"name": "Quels soins post-accouchement sont nécessaires ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une surveillance de la mère et du nouveau-né est essentielle après l'accouchement par ventouse."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles de la ventouse ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des ecchymoses, des lésions du cuir chevelu ou des fractures du crâne."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications après la ventouse ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une surveillance attentive et des soins appropriés sont nécessaires pour gérer les complications."
}
},
{
"@type": "Question",
"name": "Quels risques pour le nouveau-né ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le nouveau-né peut présenter des ecchymoses ou des traumatismes crâniens après l'utilisation de la ventouse."
}
},
{
"@type": "Question",
"name": "Quelles sont les conséquences pour la mère ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "La mère peut éprouver des douleurs, des déchirures vaginales ou des infections après la procédure."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une technique appropriée et une surveillance continue pendant l'accouchement peuvent prévenir les complications."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le besoin de ventouse ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent une grossesse prolongée, un travail difficile ou des problèmes de santé maternels."
}
},
{
"@type": "Question",
"name": "Comment l'âge maternel influence-t-il l'accouchement ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les femmes plus âgées peuvent avoir un risque accru de complications pendant l'accouchement."
}
},
{
"@type": "Question",
"name": "Quels antécédents médicaux sont préoccupants ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents de césarienne ou de complications obstétricales augmentent le risque."
}
},
{
"@type": "Question",
"name": "Comment le poids maternel affecte-t-il l'accouchement ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un poids excessif ou insuffisant peut compliquer le travail et augmenter le besoin de ventouse."
}
},
{
"@type": "Question",
"name": "Quels facteurs psychologiques influencent l'accouchement ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'anxiété ou le stress peuvent affecter le travail et augmenter le besoin d'assistance comme la ventouse."
}
}
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}
]
}
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
2020-12-01
Food Science and Technology Programme, c/o Department of Chemistry, National University of Singapore, Singapore 117543, Singapore; National University of Singapore (Suzhou) Research Institute, 377 Lin Quan Street, Suzhou Industrial Park, Suzhou, Jiangsu 215123, PR China.
Publications dans "Accouchement par ventouse obstétricale" :
Department of obstetrics and gynaecology, Leiden University Medical Centre, Leiden, the Netherlands; National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom. Electronic address: t.h.van_den_akker@lumc.nl.
Publications dans "Accouchement par ventouse obstétricale" :
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
2020-12-01
Food Science and Technology Programme, c/o Department of Chemistry, National University of Singapore, Singapore 117543, Singapore; National University of Singapore (Suzhou) Research Institute, 377 Lin Quan Street, Suzhou Industrial Park, Suzhou, Jiangsu 215123, PR China.
Publications dans "Accouchement par ventouse obstétricale" :
Food Science and Technology Programme, c/o Department of Chemistry, National University of Singapore, Singapore 117543, Singapore; National University of Singapore (Suzhou) Research Institute, 377 Lin Quan Street, Suzhou Industrial Park, Suzhou, Jiangsu 215123, PR China. Electronic address: chmynghs@nus.edu.sg.
Publications dans "Accouchement par ventouse obstétricale" :
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
2020-12-01
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
2020-12-01
Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Affiliated with the Hebrew University Medical School of Jerusalem, 12 Bayit, Jerusalem, Israel.
Department of Nursing, Jerusalem College of Technology, Jerusalem, Israel.
Publications dans "Accouchement par ventouse obstétricale" :
Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Affiliated with the Hebrew University Medical School of Jerusalem, 12 Bayit, Jerusalem, Israel. reutah86@gmail.com.
Publications dans "Accouchement par ventouse obstétricale" :
Department of Obstetrics and Gynecology, Shaare Zedek Medical Center, Affiliated with the Hebrew University Medical School of Jerusalem, 12 Bayit, Jerusalem, Israel.
Publications dans "Accouchement par ventouse obstétricale" :
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
2020-12-01
Prolonged second stage of labour is an important cause of maternal and perinatal morbidity and mortality. Vacuum extraction (VE) and second-stage caesarean section (SSCS) are the most commonly perform...
To compare maternal and perinatal morbidity, mortality and other adverse outcomes after VE versus SSCS....
A systematic search was conducted in PubMed, Cochrane and EMBASE. Studies were critically appraised using the Newcastle-Ottawa scale....
All artictles including women in second stage of labour, giving birth by vacuum extraction or cesarean section and registering at least one perinatal or maternal outcome were selected....
The chi-square test, Fisher exact's test and binary logistic regression were used and various adverse outcome scores were calculated to evaluate maternal and perinatal outcomes....
Fifteen articles were included, providing the outcomes for a total of 20 051 births by SSCS and 32 823 births by VE. All five maternal deaths resulted from complications of anaesthesia during SSCS. In...
Vacuum extraction should be the recommended mode of birth, both in high-income countries and in low- and middle-income countries, to prevent unnecessary SSCS and to reduce perinatal and maternal death...
Determine if head-perineum distance (HPD) measurement before vacuum extraction (VE) was predictive of an obstetric anal sphincter injury (OASIS) occurrence....
Retrospective, bicentric (Lille and Poissy, France) cohort study conducted from January 2019 to June 2020. All VE in singleton pregnancies of ≥34 weeks were included. HPD measurement was performed wit...
Of 12 568 deliveries, VE was performed in 1093 (8.6%). Among these 1093 women undergoing VE, 675 (61.7%) with HPD measurement were included. OASIS was found in 6.5% of women (n = 44; 95% CI 4.5-8.7). ...
Ultrasound-measured head-perineum distance does not predict the occurrence of obstetric anal sphincter injury during a VE. The interest of HPD is more about predicting the success or difficulty of VE ...
Vaginal delivery may lead to levator ani muscle (LAM) injury or avulsion. Episiotomy may reduce obstetric anal sphincter injury in operative vaginal delivery, but may increase the risk of LAM injury. ...
A prospective cohort study of 58 primiparous women with episiotomy nested within an ongoing multicenter randomized controlled trial of lateral episiotomy versus no episiotomy in VE (EVA trial) was car...
Twelve (20.7%, 95% CI 10.9-32.9) of 58 women had a LAD (p < 0.001, compared with the stipulated 50%). Six (50.0%, 95% CI 21.1% to 78.9%) of 12 women had a LAD on the episiotomy side, including those w...
There was no excessive risk of cutting the LAM while performing a lateral episiotomy. LAD was not seen in women with episiotomies shorter than 18 mm....
This is the first nationwide cohort study of vacuum extraction (VE) and long-term neurological morbidity. We hypothesized that VE per se, and not only complicated labor, can cause intracranial bleedin...
The study population included 1 509 589 term singleton children planned for vaginal birth in Sweden (January 1, 1999 to December 31, 2017). We investigated the risk of neonatal death (ND), CP, and epi...
The percentage and total number of children with the outcomes were ND (0.04%, n = 616), CP (0.12%, n = 1822), and epilepsy (0.74%, n = 11 190). Compared with children delivered by ECS, those born by V...
The outcomes ND, CP, and epilepsy are rare. In this nationwide cohort study, children born after successful VE had no increased risk of ND, CP or epilepsy compared with those delivered by ECS, but the...
During the second stage of labor, vacuum-assisted delivery is an alternative to forceps delivery and emergency cesarean section. Extensive research concerning perinatal outcomes has indicated that the...
This was an observational case-control study at the delivery ward at Karolinska University Hospital, Sweden. In total, 573 children delivered with the digital handle between 2012 and 2018 were include...
The incidence of severe perinatal outcomes was 2.3%. The 13 cases were matched with three controls each (n = 39). A statistically significant increased odds for higher total traction forces was seen i...
Children with severe perinatal outcomes had traction force profiles with significantly higher forces. The odds for severe perinatal outcomes increased for every increase in Nmin and Newton used during...
Severe perineal injuries at childbirth affect women's postnatal health, including future childbirths. First births with vacuum extraction carry an increased risk of obstetric anal sphincter injuries (...
This is a nationwide observational study using data from the Swedish Medical Birth Register, including women having a first birth with vacuum extraction and a second birth in 2000-2014. Both births we...
In total, 44 656 women with vacuum extraction at their first birth were included. The rate of prelabor cesarean delivery in the second birth was 5.9% (824 of 13 950) in women with episiotomy, compared...
Lateral or mediolateral episiotomy at vacuum extraction in nulliparous women did not increase the risk of prelabor cesarean delivery in the subsequent childbirth. OASIS increased the odds of prelabor ...
To evaluate the association between fetal head position during prevacuum assessment and adverse outcomes....
This retrospective cohort study included all vacuum-assisted deliveries using the Kiwi Omnicup over 5 years. Primary outcomes were third- or fourth-degree perineal tear, pH < 7.1, and subgaleal hemato...
The study included 1960 patients. OP position was more likely to involve epidural analgesia (311 [82.5%] vs. 1216 [77%], P = 0.020), higher fetal head station (P = 0.001), higher percentage of cup det...
OP position is an independent risk-factor for anal sphincter injury and SGH during vacuum-assisted delivery....
Nowadays, we are witnessing a decrease of vaginal instrumental deliveries and continuous increase of caesarean section rate. However, proper identification of possibility of execution, indications for...
A retrospective study was conducted at the Department of Perinatology, Medical University of Lodz. The study included forceps deliveries carried out between January 2019 and December 2022. Total numbe...
The prevalence of forceps delivery was 2.2%. The most common indication for forceps delivery was foetal distress (81.6%). Among mothers, the most frequent complication was vaginal laceration (40.1%). ...
Although foetal distress is the most common indication for forceps delivery, the vast majority of newborns were born in good condition and did not require admission to NICU. Taking into consideration ...
Vacuum-assisted delivery (VAD) is a common and safe obstetric procedure. However, occasionally serious complications may occur. Clinical guidelines and College Statements have been developed to reduce...
The aim was to evaluate whether compliance with RANZCOG College Statement C-Obs 16 advice reduced the risk of serious adverse outcomes, specifically clinically significant subgaleal haemorrhage and ma...
Retrospective audit of VADs in a level five hospital (NSW Maternity and Neonatal capability framework) from January 2020 to 2021....
There were 1960 women who delivered in the study period, of whom 252 (12.8%) delivered by vacuum, and complete data were available from 241 cases. Statement compliance was observed in 81%. The main de...
Compliance with a College Statement is associated with lower rates of subgaleal haemorrhage and major neonatal trauma. The main deviation from compliance was pulls in excess of three. Keyword: birth t...
Maternal lateral postures provide advantages during childbirth. This study aims to investigate the feasibility of assisting vacuum births in maternal lateral postures in a simulation model....
In a simulation model, four obstetricians and four medical students were randomly allocated to perform vacuum-assisted births first in maternal lateral posture or lithotomy. A modification of Aldo Vac...
A total of 128 vacuum-assisted births were performed. The mean distance to the flexion point was 1.15 ± 0.71 cm for the lithotomy posture and 1.31 ± 0.82 cm for the lateral posture (P = 0.127). There ...
