Introduction: Primary function of operative vaginal birth is as fast as possible fetal extraction of the fetus with the purpose of preserving the life and simultaneously cause as less maternal and neotanal injuries as possible. Studies prove that vacuume birth is safer alternative to forceps as long as it is carried out by a skilled obstetrician. Purpose: Purpose of this systematic review is to present vacuume birth, define indications, contraindications, to describe the course of birth, to present complications and long-lasting influence of vacuume birth on the mother and child and to sum up those informations in an informative brochure for parents. Methods of work: For method of work it was used descriptive method. Professional and academic articles which were found in electronic databases CINAHL, MEDLINE and ScienceDirect were examined. With help of various bibliographic-catalogue databases COBISS, DiKUL, dLib.si and Google Books manuals, brochures and books were obtained. Key words and phrases that were used at searching in slovene language are: vakuum, vakuumski porod, izhodna porodniška operacija, which were connected by the word “IN”. Used key words and phrases in English were vacuum, vacuum assisted delivery, impact of mode of delivery, operative birth, women`s experience, midwife, neonatal consequences, maternal outcomes, vaginal instrumental birth, indications, ventouse delivery, which were connected together by the word “AND”. Searching for literature wasn’t linguisticly limited. The included criteria for choosing literature were: clear connection of the article and the theme of vacuum birth, with which the article's type of methodology wasn't important, the access to the whole article was complete, the literature was published between 2001 and 2017, and in the case that the article was published more than once, then the latest edition was chosen. Suitable literature choices in English were 96 and in Slovene there were 5. Discussion and conclusion: Indications for vacuume birth are prolonged second stage of labour, exhaustion of the mother, maternal distress, former ilnesses, proven fetal distress, malposition of the fetus and abnormal cardiotokographic record as accompanied factor at labour arrest at the bottom of the pelvis. The most common maternal injuries are injuries of soft tissues (of vagina, cervix and vulva). The most common fetal injuries are cephalohematoma, retinal bleeding, bruises and abrasions. There is also a possibilty of worse complications as such as intracranial bleeding and fractures of cranial bones. Majority of women who tried to give birth spontaneously, but ended giving birth by instrumental operative procedure, experienced the labour more traumatic. To be part of the team, cooperate at decision making and physical contact of a woman with the midwife, are three the most important elements for positive experience of vacuum birth. Informing parents with help of informative brochures and posters about vacuum birth, enables parents cooperation and decision making during birth process, increases feeling of control of the situation and improves birth experience.
|