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Episiotomies and obstetric anal sphincter injuries following a restrictive episiotomy policy in France: An analysis of the 2010, 2016, and 2021 National Perinatal Surveys.
PLoS Med
January 2025
Université Paris Cité, Center of Research in Epidemiology and StatisticS/CRESS/Obstetrical Perinatal and Pediatric Epidemiology Research Team (EPOPé), INSERM, INRAE, Paris, France.
Background: The French guidelines have recommended a restrictive policy of episiotomy since 2005. We aimed to assess variations in the prevalence of both episiotomy and obstetric anal sphincter injury (OASI) from the 2010, 2016, and 2021 National Perinatal Surveys.
Methods And Findings: A total of 29,750 women who had given birth to a live infant by vaginal delivery were included.
Impact of the type of vaginal assisted delivery on the pelvic floor and OASI - Ultrasound study.
Eur J Obstet Gynecol Reprod Biol
February 2025
Department of Gynaecology, Obstetrics and Neonatology, General University Hospital in Prague and First Faculty of Medicine, Charles University, Czech Republic.
Objective: To assess the prevalence of pelvic floor and anal sphincter trauma in women after assisted vaginal delivery.
Methods: Retrospective study on 201 primiparous women after assisted vaginal delivery, control group 43 women after normal vaginal delivery. 4D translabial ultrasound examination of the levator ani and the anal sphincter was performed according to standard methodology at least 3 months postpartum.
The Development of a Forceps-Adaptable Pressure Device for Instrumental Delivery: A Proof-of-Concept Study for Clinical and Educational Applications.
Sensors (Basel)
December 2024
Jeanne de Flandre Hospital, Faculté de Médecine, University of Lille, Avenue Eugène Avinée, 59000 Lille, France.
Objective: To develop and validate a device that measures the pressure exerted by forceps on the fetal head for clinical use.
Background: The lack of clinical tools to quantify forceps pressure on the fetal head may impact maternal and neonatal outcomes. Existing studies have not measured the direct contact pressure between forceps blades and the fetal head, highlighting the need for innovation.
Neurodevelopment of Children Born with Forceps Delivery-A Single Tertiary Clinic Study.
Medicina (Kaunas)
October 2024
Clinic for Gynecology and Obstetrics, University Clinical Center of Serbia, 11000 Belgrade, Serbia.
Article Synopsis
- Forceps delivery is increasingly overlooked in favor of cesarean sections, despite cesarean complications, with concerns primarily focused on safety and long-term effects on children.
- A study involving 49 women in Serbia assessed the neurological outcomes of children born via forceps at age 7, showing a 16.3% incidence of pathological neurological status among newborns.
- Long-term issues were found in 6.4% of cases, highlighting that while forceps delivery is generally safe for neurological development, there are still mild disorders that can arise.
Risk of cervical laceration in forceps vs vacuum delivery: A systematic review and meta-analysis.
Acta Obstet Gynecol Scand
January 2025
Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario, Canada.
Article Synopsis
- Cervical laceration during delivery can lead to serious complications like severe postpartum hemorrhage and preterm birth; the study aims to assess the risk of such injuries between forceps and vacuum-assisted deliveries.
- The systematic review included 13 studies, revealing a higher rate of cervical laceration with forceps deliveries (1.04%) compared to vacuum deliveries (0.22%), suggesting a risk increase of 2-5 times for forceps.
- Overall, the quality of evidence was low to moderate, with a notable lack of attention to confounding factors in observational studies, leading to a very low certainty of evidence for those and moderate for randomized controlled trials (RCTs).*
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