вакуум-экстракция плода, оперативное родоразрешение, показания к вакуум-экстракции плода, Pediatrics, RJ1-570, Gynecology and obstetrics, RG1-991

The aim of the research – examination of indications, conditions and outcomes for a woman and a newborn after a vaginal operative delivery by applying a vacuum extractor of the KIWI system. Material and methods. A retrospective analysis was conducted of 495 stories of women giving birth, of fetal vacuum extraction of fetus for 3 years (2014-2016). This amounted to 2.8 % of all births occurred in the perinatal center during this time. Results. The operation of vacuum extraction of the fetus was carried out for acute fetal hypoxia in 73.3 % of cases, and due to weakness of the labor force – in 26.6 % of cases with a gestation period of 38-41 weeks of gestation. The Apgar score was 7-8 points in 79.3 % of newborns, 6-7 in 18.3 %, 4-5 in 1.8 %, and 2 newborns needed resuscitation. Сonclusions. Operative delivery through the use of vacuum extraction of the fetus is a method of delivery that is safe for the mother and fetus, with strict observance of the conditions, contraindications and proper technique of its performance. The use of modern methods of vaginal delivery allows to reduce the percentage of cesarean section in modern midwifery.