One year's experience in replacement of forceps with Malmström's vacuum extractor

SummaryIn 1983 there were 1535 deliveries at the Central Middlesex Hospital. Operative vaginal delivery was needed in 96 patients, 6 per cent of the total deliveries. The mode of operative delivery was determined by the obstetrician. The Apgar score, frequency of intubation, admission to the special care baby unit, the incidence of neonatal jaundice and fetal and maternal trauma have been reviewed. There appeared to be advantages in the use of the vacuum extractor compared with forceps delivery. We found the vacuum extractor to be effective as forceps, but safer and less traumatic for mother and baby. It required less obstetric training.