ASSESSING MATERNAL AND NEONATAL HEALTH IN VACUUM-ASSISTED VS. MANUAL EXTRACTION CAESAREAN DELIVERIES: A COHORT ANALYSIS

Abstract

This research delves into the critical examination of maternal and neonatal health outcomes in vacuum-assisted versus manual extraction Caesarean deliveries. Conducted within the timeframe of June 2018 to April 2023 at Krishna Institute of Medical Sciences, KVV, Karad, the study involved 500 expectant mothers as participants. Ethical approval from the institutional ethics committee was duly obtained, ensuring adherence to ethical standards. Of the 250 Caesarean sections performed during the study period, an equal distribution was observed between vacuum-assisted deliveries and those involving manual extraction. This allocation was based on specific clinical indications warranting either approach. The findings unveiled a notable advantage associated with vacuum-assisted deliveries, showcasing reduced incidences of uterine incision extension, estimated blood loss, and maternal discomfort in comparison to the manual extraction method. However, intriguingly, there were no statistically significant disparities detected in Apgar Scores or the need for infant resuscitation between the two delivery techniques. This cohort analysis sheds light on the nuanced differences in maternal and neonatal health outcomes associated with distinct Caesarean delivery approaches, thus contributing valuable insights to the field of obstetrics and gynecology.