All are true except :- (AIIMS Nov. 2012)
|A||Retinal hemorrhage more with vacuum|
|B||Vaccum needs more skill than forceps delivery|
|C||Cephal-hematoma is more common with vaccum extraction|
|D||Less maternal trauma by vaccum as compared with forceps|
Vaccum needs more skill than forceps delivery
Comparisons: Forceps Versus Vacuum
a. There are signifi cantly more third- and fourth-degree perineal lacerations, with forceps.
b. Conversely, the incidence of cephalohematomas are more with the vacuum
c. Investigators have found decreased maternal trauma by vacuum compared with forceps.
d. Although retinal hemorrhage occasionally is seen with vacuum usage, it has no apparent long-term effects. Johanson and Menon analyzed 10 randomized trials and confirmed that vacuum extraction was associated with less maternal but more fetal trauma, for example, cephalohematoma and retinal hemorrhage.
i. The 2 major types of scalp injury associated with vacuum operations are the common, but clinically unimportant, cephalohematomas and the relatively rare, but potentially life-threatening, subgaleal hemorrhages.
ii. Vacuum extraction has a low rate of maternal injury in comparison with forceps operations or cesarean delivery.
iii. Vacuum requires less clinical expertise as compared to forceps.