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- Title
Vacuum extraction and neonatal jaundice.
- Authors
Arad, I.; Fainmesser, P.; Birkenfeld, A.; Gülaiev, B.; Sadovsky, E.
- Abstract
Various fetal scalp lesions are related to the use of the vacuum extractor. Blood sequestered in these lesions could result in an increased bilirubin load on the functionally limited neonatal liver, leading to the development of hyperbilirubinemia. In the present study bilirubin levels of vacuum extracted neonates were compared with those of non instrumentally delivered babies during the first 72 hours of life. Sixty-nine vacuum extracted neonates had higher bilirubin levels than 56 noninstrumentally delivered babies at 24 (114 μmol/l vs. 96 μmol/l), 48 (163 vs. 141) and 72 (194 vs. 144) hours of age. The p values were 0.05, < 0.025 and < 0.001 respectively. This trend was apparent in both oxytocin induced and non-induced deliveries and whether or not phototherapy cases were included in the analysis. The incidence of hyperbilirubinemia requiring phototherapy was higher after vacuum extraction than after non instrumental delivery (27.5% vs. 12.5%; p < 0.04).Analysis of our results unexpectedly indicated that oxytocin induction was generally associated with an attenuation of bilirubin levels after both vacuum extraction and spontaneous delivery.The clinician attending newborn babies should be aware of the higher incidence of neonatal hyperbilirubinemia associated with vacuum extraction.
- Publication
Journal of Perinatal Medicine, 1982, Vol 10, Issue 6, p273
- ISSN
0300-5577
- Publication type
Article