Does BMI Impact Success of Vacuum-Assisted Vaginal Delivery?
This study by Ramos et al. (Obstetrics and Gynecology, 2017) aimed to determine if body mass index (BMI) impacts the efficacy of vacuum-assisted vaginal delivery.
Retrospective Cohort Study
2,084 women with singleton pregnancies were included in the study. Of women requiring delivery assistance, 39% were classified as overweight or obese (BMI of 25-30 and >30 respectively). Of these women, 79% had vacuum attempts, and 95.3% of those attempts were successful. While obese women were less likely to undergo vacuum-assisted vaginal delivery, those who did had the same success rate as normal-weight women. The authors suggest that considering the morbidity associated with cesarean delivery in the setting of obesity, vacuum delivery should perhaps be a consideration in the appropriate clinical setting.
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