Vacuum extraction delivery: 11 years of delivery experience, maternal and fetal outcomes

DOI

https://dx.doi.org/10.18565/aig.2025.75

Shramko S.V., Alekseeva M.V., Renge L.V., Vlasenko A.E.
1) Novokuznetsk State Institute for Advanced Medical Studies – Branch of Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia, Novokuznetsk, Russia; 2) Novokuznetsk City Clinical Hospital No. 1 named after G.P. Kurbatov, Perinatal Center, Novokuznetsk, Russia; 3) Digital Technologies and Platforms LLC, Moscow, Russia

The frequency of operative vaginal births using vacuum extraction delivery, also known as fetal vacuum extraction delivery (FVE), varies significantly worldwide and comprises 2.8–16.7% of the total number of births, whereas in Russia it is no more than 1.23%. Improved models of the ventouse systems, along with obvious simplicity and convenience, make the FEV method widely and safely used.
Objective: To assess the outcomes of FVE during vaginal delivery (VD) and cesarean section (CS) for mothers and their newborns.
Materials and methods: A retrospective analysis of the outcome of 387 deliveries by FVE using the KIWI vacuum system was performed on the basis of the births and newborns histories at the 2nd Maternity Department of the Novokuznetsk Perinatal Center for the period of 2013–2023. Parity, duration of labor, course of the postpartum period in women and the condition of newborns were studied.
Results: The duration of the FVE was: 5.0 (5.0; 8.0) minutes for VD and 1.0 (1.0; 2.0) minute for CS. In 85% of VD cases and in 96% of CS cases, the postpartum period passed without complications. In 58% of VD cases and in 62% CS cases, the newborns had no complications and there were no cases of severe obstetric trauma. 83% of children were extracted in satisfactory condition, in 2% of CS cases, the death of the newborn occurred. Clinically significant injuries such as subgaleal hematomas and skull fractures were not registered.
Conclusion: When used in a timely manner, taking into account contraindications, observing the conditions and impeccable technique, FVE can be considered a safe procedure both for the mother and the fetus.

Authors’ contributions: Shramko S.V., Renge L.V., Alekseeva M.V. – study concept and design; Alekseeva M.V., Shramko S.V. – data collecting and analysis; Vlasenko A.E. – statistical analysis; Shramko S.V., Alekseeva M.V. – manuscript drafting; Shramko S.V., Renge L.V. – manuscript editing.
Conflicts of interest: The authors declare no conflicts of interest with respect to this publication.
Funding: The study was performed without external funding.
Ethical Approval: The study was approved on February 20, 2025 by the Research Ethics Committee of the Novokuznetsk State Institute for Advanced Medical Studies – Branch of Russian Medical Academy of Continuous Professional Education,
Ministry of Health of Russia.
Patient Consent for Publication: The mothers of newborns provided informed consent for the publication of their data.
Authors' Data Sharing Statement: The data supporting the findings of this study are available on request from the corresponding author after approval from the principal investigator.
For citation: Shramko S.V., Alekseeva M.V., Renge L.V., Vlasenko A.E. Vacuum extraction delivery:
11 years of delivery experience, maternal and fetal outcomes.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2025; (8): 80-87 (in Russian)
https://dx.doi.org/10.18565/aig.2025.75

fetal vacuum extraction

operative delivery

vaginal delivery

cesarean section

fetal hypoxia

Full text (in Russian)

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Received 13.03.2025

Accepted 30.06.2025

Svetlana V. Shramko, Dr. Med. Sci., Associate Professor, Department of Obstetrics and Gynecology, Novokuznetsk State Institute for Advanced Medical Studies – branch of Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia, 654005, Russia, Novokuznetsk, Stroiteley Ave., 5, +7(3843)324-750, shramko_08@mail.ru, https://orcid.org/0000-0003-1299-165X
Marina V. Alekseeva, Head of Obstetric Hospital No. 2, Novokuznetsk City Clinical Hospital No. 1 named after. G.P. Kurbatov, Perinatal Center,
Obstetric Department No. 2, 654031, Russia, Novokuznetsk, Izhevskiy proezd, 16, +7(913)316-99-16, arina13_68@mail.ru, https://orcid.org/0000-0001-7553-0856
Ludmila V. Renge, Dr. Med. Sci., Head of the Department of Obstetrics and Gynecology, Novokuznetsk State Institute for Advanced Medical Studies – branch of Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia, 654005, Russia, Novokuznetsk, Stroiteley Ave., 5, +7(3843)324-750, l.renge@mail.ru, https://orcid.org/0000-0002-7237-9721
Anna E. Vlasenko, Leading Expert, Digital Technologies and Platforms LLC, 115054, Russia, Moscow, Dubininskaya str., 57, build. 1а, vlasenkoanna@inbox.ru,
https://orcid.org/0000-0001-6454-4216

Vacuum extraction delivery: 11 years of delivery experience, maternal and fetal outcomes

Shramko S.V., Alekseeva M.V., Renge L.V., Vlasenko A.E.

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