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Vacuum delivery in all-fours position: is it a valuable, brand-new option?

      Since all-fours birth position is considered to decrease the rate of failure of vaginal birth and the risk of negative maternal and fetal outcomes, we wondered if all-fours would be favorable in case of operative vaginal delivery with obstetrical vacuum. We performed a simulation of vacuum application on a mannequin settled in all-fours position and we filmed this new application for diffusion among clinicians. We suggest that the all-fours position be considered and investigated in further studies as a possible way of delivery in case of operative vaginal delivery.

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      References

        • Zhang H
        • Huang S
        • Guo X
        • et al.
        A randomised controlled trial in comparing maternal and neonatal outcomes between hands-and-knees delivery position and supine position in China.
        Midwifery. 2017; 50: 117-124
        • Simarro M
        • Espinosa JA
        • Salinas C
        • et al.
        A prospective randomized trial of postural changes vs passive supine lying during the second stage of labor under epidural analgesia.
        Med Sci (Basel). 2017; 5: 5
        • Walker C
        • Rodríguez T
        • Herranz A
        • Espinosa JA
        • Sánchez E
        • Espuña-Pons M.
        Alternative model of birth to reduce the risk of assisted vaginal delivery and perineal trauma.
        Int Urogynecol J. 2012; 23: 1249-1256
        • Krispin E
        • Aviram A
        • Salman L
        • Chen R
        • Wiznitzer A
        • Gabbay-Benziv R.
        Cup detachment during vacuum-assisted vaginal delivery and birth outcome.
        Arch Gynecol Obstet. 2017; 296: 877-883
        • Michel SC
        • Rake A
        • Treiber K
        • et al.
        MR obstetric pelvimetry: effect of birthing position on pelvic bony dimensions.
        AJR Am J Roentgenol. 2002; 179: 1063-1067