Evaluation of Maternal and Fetal Outcomes in Caesarean Delivery Utilizing Vacuum Assistance following Pelvimetry: A Cross- Sectional Study

Abstract

Background: The use of Caesarean section has greatly increased globally in the past decades, exceeding the threshold recommended by WHO even when done medically or for elective purposes. 

Objective: To evaluate the maternal and fetal outcomes in caesarean delivery utilizing pelvimetry and vacuum assistance.

Material and Methods: This cross-sectional study was done in a HBS General Teaching Hospital, Islamabad with 180 pregnant women as subjects. The study was approved by the IRB. 80 C-sections were done using vacuum assistance following pelvimetry. All the patients were given planned C-sections because of no uterine activity and amniotic fluid.
Results: No significant differences were observed between the two groups in terms of mean age, parity, or mean birth weight. The results also demonstrated that there wasn't a significant difference in how much blood the mothers lost between the two groups (p=0.07). However, the size of the cut made in the mother's womb (uterine incision) was noticeably different between the two groups. There weren't any differences between the babies in the two groups when it comes to their health scores (Apgar scores) at one and five minutes after birth (p=0.06). Additionally, there wasn't a difference in the number of babies who needed special help breathing (neonatal resuscitation) or who needed to be admitted to a special care unit (SNCU) (p=1.01).

Conclusion: Vacuum-assisted Caesarean delivery is more effective than manual extraction in minimizing blood loss, uterine incision extension, and maternal discomfort during Caesarean section