Re: ventouse

From: ainsron (ainsron@sbcglobal.net)
Fri Mar 3 10:52:47 2006


I like the Kiwi also, but it's thin vacuum line can sometimes fill up with fluid and pop-off with minimal traction. When I use the Kiwi, I also have to put the bed at a lower level because of the length of the vacuum. For more "difficult" vacuum's, I still prefer the Mityvac Type M cup.

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. Daniel Braun Sent: Friday, March 03, 2006 6:51 AM To: Multiple recipients of list OB-GYN-L Subject: Re: ventouse

If appropriately applied over the Traction point and traction is applied in the appropropriate direction, i.e. 90 degrees from the plane of the cup. the Kiwi is, IMHO, without a doubt the best. I have also used all of them over the years. Again, IMHO, the forceps work best, i.e. fewer failures. All the studies comparing the two show no diference in failure rates(15% for forceps & 15% for Vacuum). I have done over 1000 forceps deliveries in 42 years of practice and have only had 3 cases of failed foprceps( a lot less than 15%).

But as Art says, "I could be wrong"

Dan

On 3/3/06, GA12L@aol.com <GA12L@aol.com> wrote:

In a message dated 03/03/2006 13:10:48 GMT Standard Time, RModugno@aol.com writes:

Has an effective 'grip' and is less likely to 'pop off' in my experience.

Thanks, Robert. How many times do you replace the cup if it does pop off. We have to stop our docs if it comes off twice. We also have to write on the CTG tracing when the cup was applied, when the first pull was, second pull if applicable, delivery of the head and subsequent birth of the baby...My only experience of doing a ventouse was on the ALSO course on a dolly, hadly the same thing!

Is this any different to what happens where you are? The ventouse, that is not the dolly!

Gail

--
R. Daniel Braun
       Kinky for Governor




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