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£25.00
£25.00
ISBN: 978-1-920818-03-6
Page count: 147
Publisher: Vacca Research
Publication year: 2009
The Handbook of Vacuum Delivery in Obstetric Practice is intended to be used as a resource for clinicians who perform or who are in training to perform standard and rotational vacuum extraction. In addition, all healthcare providers who assist women during and following a vacuum birth, and neonatal paediatricians and nurses responsible for the care of their infants will find much information in the handbook helpful for their practices.
Essential knowledge, procedural steps and technical skills for successful and safe vacuum delivery are outlined in this book in a clear and systematic fashion supported by over two hundred illustrations and photographs. The available evidence for best practice is critically examined and recommendations based on the data are discussed.
Operators who follow the guidelines presented in the handbook should, with practice, experience an improvement in successful vacuum delivery and a reduction in the risk of adverse outcome for the mother and infant.
Table of contents:
Equipment
Vacuum extractor cups in common use
Vacuum pumps and systems
Clinical Principles
General and technical principles
Position and attitude of the fetal head
The flexion point
Calculating the cup insertion distance
Correct and incorrect cup applications
Manoeuvrability of vacuum cups
Choice of vacuum cups
Axis traction
Selection of Patients for Vacuum Extraction
Indications and contraindications
Assessing obstetric variables and classifying the risk
Classification of vacuum deliveries
Selection of patients for vacuum delivery
Trial of vacuum-assisted delivery
Preliminaries
Analgesia for vacuum extraction
Position of the mother
Communication between mother and operator
Standard Procedure for Vacuum Delivery
Assessment and selection fo patients for vacuum-assisted delivery
The five common steps of a vacuum delivery
Two-hand extraction technique
Signs of progress
After vacuum delivery
Documentation of vacuum delivery
Non-Rotational and Rotational Vacuum Delivery
Use of soft cups for occipitoanterior positions
Use of rigid anterior cups for occipitoanterior positions
Use of posterior cups for occipitoposterior positions
Use of posterior cups for occipitotransverse positions
Autorotation of the fetal head
Efficacy of Vacuum Extraction
Difficult or failed vacuum extraction
Detachment ("pop-off") of the cup
The descent phase and pelvic floor and perineal phase of a vacuum delivery
Number of pulls - the 'three plus three' pulls rule
Duration of vacuum extraction
Vacuum extraction and forceps delivery compared
Neonatal and Maternal Effects of Vacuum Extraction
Classification of the neonatal effects of vacuum extraction
Neonatal scalp effects - chignon, cup mark and scalp abrasion
Cephalhaematoma, retinal haemorrhage and jaundice
Subgaleal (subaponeurotic) haemorrhage and intracranial haemorrhage
Shoulder dystocia
Effects of vacuum extraction on the mother
Episiotomy and vacuum delivery
Anal sphincter and genital tract injury following vacuum extraction
Training and Safety Measures
Operator experience and training for vacuum-assisted delivery
Vacuum delivery training - components of a training programme
Safety measures - prior to, during and after vacuum delivery
Attitudes of the mothers and health care personnel towards vacuum delivery
Changes in obstetric practices and trends in operative vaginal delivery
Maternal consent, documentation and legal issues related to vacuum delivery
Appendix - Vacuum Delivery for Mothers and Others
Comments
Vacuum Del by Aldo Vacca.
Appealing. A must to have. Will pick up a copy at the College.