Re: vacuum of breech

From: Brian Hackman (brianhackman@easynet.co.uk)
Sun Dec 17 01:22:55 1995


>>has anyone done this in their practice??

>>I have judiciously used it to help with decreased forces when the room is obviously there for delivery and the baby is very near the outlet level but mom
>>is so tired/epidural preventing here from pushing the fetus out.

>Well, that method doesn't fit the end of century. The only things You can be sure about almost 100% are complications. Decreased forces - apply uterokinetics, if protraction of labor is the case, and breech is still not engaged -definitely section is the only method of choice.
>The principle (I believe) is: WAIT, DON'T HURRY, DON'T DO NOTHING FORCIBLE. Especially - don't extract the baby (unless it's inevitable - but it could be only a partial extraction of head or hands). Only exception is known from medical faculty:second transversal twin. I thing it's unpardonable if any problem occurs during vacuum breech delivery.

>But anyway, if You are still interested in some abstracts or other sources, I know that here in late 60s dr. Lipensky issued a book:"Vacuumextraction" in Slovak language. Drop me a line if You want some chapters from that, I will try to find the book and translate something / I'll do my best, but I'm not sure about precise terminology in English//.

>======================
>Dr. Rudolf STRAKA
>straka@sco.medicalh.sk

>Women's Clinic
>Jesseniuss Medical Faculty, University of Komensky Faculty Hospital
>Martin
>Slovak Republic
>======================

I do not see the point in using the vacuum when with groin traction it is so easy to bring down and guide the breech using the correct amount of force and keeping the angle of pull exact.

--
Brian Hackman

Mr.Brian Hackman, Butts House, Church Road, Glatton, Cambridgeshire, PE17 5RR. U.K. Tel.(+)1487830645 Fax.(+)1487832949





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