Podcast
Questions and Answers
What is the risk of significant vulvo-vaginal tear with vacuum extraction compared to forceps?
What is the risk of significant vulvo-vaginal tear with vacuum extraction compared to forceps?
Which instrument usage combination resulted in the highest risk among babies?
Which instrument usage combination resulted in the highest risk among babies?
What is the incidence of postpartum haemorrhage with vacuum and forceps?
What is the incidence of postpartum haemorrhage with vacuum and forceps?
Which instrument is associated with a higher incidence of retinal hemorrhage?
Which instrument is associated with a higher incidence of retinal hemorrhage?
Signup and view all the answers
What is the range of incidence for cephalhaematoma predominantly associated with vacuum extraction?
What is the range of incidence for cephalhaematoma predominantly associated with vacuum extraction?
Signup and view all the answers
Which instrument is mainly responsible for skull fractures?
Which instrument is mainly responsible for skull fractures?
Signup and view all the answers
What is the risk of OASI (Obstetric Anal Sphincter Injury) with vacuum extraction?
What is the risk of OASI (Obstetric Anal Sphincter Injury) with vacuum extraction?
Signup and view all the answers
Which instrument demonstrates a higher incidence of facial or scalp lacerations?
Which instrument demonstrates a higher incidence of facial or scalp lacerations?
Signup and view all the answers
What is the likelihood of failed assisted vaginal birth being associated with maternal worries about the baby?
What is the likelihood of failed assisted vaginal birth being associated with maternal worries about the baby?
Signup and view all the answers
According to the study, what is the increased likelihood of failed assisted vaginal birth being associated with cephalhaematoma?
According to the study, what is the increased likelihood of failed assisted vaginal birth being associated with cephalhaematoma?
Signup and view all the answers
What is the likelihood that failed assisted vaginal birth is associated with retinal hemorrhage?
What is the likelihood that failed assisted vaginal birth is associated with retinal hemorrhage?
Signup and view all the answers
In the study, how likely is failed assisted vaginal birth to be associated with significant maternal perineal and vaginal trauma?
In the study, how likely is failed assisted vaginal birth to be associated with significant maternal perineal and vaginal trauma?
Signup and view all the answers
According to the findings, what is the increased likelihood of failed assisted vaginal birth being linked to low 5 min Apgar scores?
According to the findings, what is the increased likelihood of failed assisted vaginal birth being linked to low 5 min Apgar scores?
Signup and view all the answers
What was the likelihood that failed assisted vaginal birth was related to the need for phototherapy?
What was the likelihood that failed assisted vaginal birth was related to the need for phototherapy?
Signup and view all the answers
How much more likely was failure of vacuum birth with a fetal malposition?
How much more likely was failure of vacuum birth with a fetal malposition?
Signup and view all the answers
Compared to conventional cup birth, what was the relative risk (RR) associated with anterior births in vacuum births?
Compared to conventional cup birth, what was the relative risk (RR) associated with anterior births in vacuum births?
Signup and view all the answers
What was the association between episiotomy and postpartum hemorrhage?
What was the association between episiotomy and postpartum hemorrhage?
Signup and view all the answers
What was the risk of obstetric anal sphincter injuries (OASIS) in ventouse deliveries without episiotomy compared to forceps deliveries without episiotomy?
What was the risk of obstetric anal sphincter injuries (OASIS) in ventouse deliveries without episiotomy compared to forceps deliveries without episiotomy?
Signup and view all the answers
According to the Danish group, what did the data show about mediolateral or lateral episiotomy in nulliparous women?
According to the Danish group, what did the data show about mediolateral or lateral episiotomy in nulliparous women?
Signup and view all the answers
What was the relationship between mediolateral episiotomy and OASIS in parous women?
What was the relationship between mediolateral episiotomy and OASIS in parous women?
Signup and view all the answers
What did the Israeli group report about the use of episiotomy in vacuum birth?
What did the Israeli group report about the use of episiotomy in vacuum birth?
Signup and view all the answers
In nulliparous women, what was the odds ratio for obstetric anal sphincter injuries (OASIS) associated with mediolateral episiotomy?
In nulliparous women, what was the odds ratio for obstetric anal sphincter injuries (OASIS) associated with mediolateral episiotomy?
Signup and view all the answers
What is the risk of OASIS in ventouse deliveries without episiotomy compared to primiparous vaginal deliveries?
What is the risk of OASIS in ventouse deliveries without episiotomy compared to primiparous vaginal deliveries?
Signup and view all the answers
Based on the large UK-based retrospective cohort study, which delivery method had the highest risk of OASIS without episiotomy?
Based on the large UK-based retrospective cohort study, which delivery method had the highest risk of OASIS without episiotomy?
Signup and view all the answers
"Should prophylactic antibiotics be given?" What is this question referring to?
"Should prophylactic antibiotics be given?" What is this question referring to?
Signup and view all the answers
Which study recommended considering mediolateral or lateral episiotomy as protective against OASI in nulliparous women?
Which study recommended considering mediolateral or lateral episiotomy as protective against OASI in nulliparous women?
Signup and view all the answers
What is the effect of continuous support for women during childbirth on the likelihood of spontaneous vaginal birth?
What is the effect of continuous support for women during childbirth on the likelihood of spontaneous vaginal birth?
Signup and view all the answers
How does epidural analgesia compared with non-epidural methods impact the incidence of assisted vaginal birth?
How does epidural analgesia compared with non-epidural methods impact the incidence of assisted vaginal birth?
Signup and view all the answers
What is the effect of using epidural analgesia in the latent phase of labor compared to the active phase on the risk of assisted vaginal birth in nulliparous women?
What is the effect of using epidural analgesia in the latent phase of labor compared to the active phase on the risk of assisted vaginal birth in nulliparous women?
Signup and view all the answers
How does continuous support during childbirth influence the likelihood of assisted vaginal birth?
How does continuous support during childbirth influence the likelihood of assisted vaginal birth?
Signup and view all the answers
What did a post hoc subgroup analysis reveal about the increase in assisted vaginal births related to epidural analgesia?
What did a post hoc subgroup analysis reveal about the increase in assisted vaginal births related to epidural analgesia?
Signup and view all the answers
Which method provides better pain relief than non-epidural analgesia during childbirth?
Which method provides better pain relief than non-epidural analgesia during childbirth?
Signup and view all the answers
What is the impact of using lower concentrations of local analgesic or patient-controlled epidural analgesia on assisted vaginal birth outcomes?
What is the impact of using lower concentrations of local analgesic or patient-controlled epidural analgesia on assisted vaginal birth outcomes?
Signup and view all the answers
What is one of the reasons why complex decision-making is required when choosing between assisted vaginal birth and second-stage caesarean birth?
What is one of the reasons why complex decision-making is required when choosing between assisted vaginal birth and second-stage caesarean birth?
Signup and view all the answers
Which position should women using epidural analgesia adopt in the second stage of labor according to the guideline?
Which position should women using epidural analgesia adopt in the second stage of labor according to the guideline?
Signup and view all the answers
What effect does adopting an upright or lateral position in the second stage of labor have for women not using epidural analgesia?
What effect does adopting an upright or lateral position in the second stage of labor have for women not using epidural analgesia?
Signup and view all the answers
What is recommended for nulliparous women with epidural analgesia to reduce the need for rotational and midpelvic assisted vaginal birth?
What is recommended for nulliparous women with epidural analgesia to reduce the need for rotational and midpelvic assisted vaginal birth?
Signup and view all the answers
What can be challenging and result in significant maternal and perinatal morbidity late in the second stage of labor?
What can be challenging and result in significant maternal and perinatal morbidity late in the second stage of labor?
Signup and view all the answers
Which type of birth is more likely to lead to perinatal death according to the guideline?
Which type of birth is more likely to lead to perinatal death according to the guideline?
Signup and view all the answers
What is encouraged for women not using epidural analgesia in the second stage of labor?
What is encouraged for women not using epidural analgesia in the second stage of labor?
Signup and view all the answers