الفهرس 
Vacuum extractionOnly 14 pages are availabe for public view
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Abstract
Cesarean section is the delivery of the fetus, placenta and membranes through an incision in the abdominal wall and the uterine wall. A major technical problem of delivery by cesarean section is delivery of the fetal head through the uterine incision. Difficult fetal extraction occurs in 1-2% of cesarean deliveries. Either forceps or a vacuum device is often used to assist in delivery of the fetal head in cesarean section when the delivery is difficult and where the routine atraumatic manual delivery of fetal head is not possible. In the current study we aimed to compare the safety (for mother and infant) and efficacy of delivery of the fetal head in cesarean section using vacuum extractor versus routine manual extraction. Sixty cases divided into two groups group I vacuum-assisted delivery and group II with routine manual delivery. In the current study we found that there were insignificant differences between two groups as regard age, parity, BMI and previous cesarean section. In the current study we found that there was insignificant difference between two groups as regard Delivery gestational age. In the current study we found that there was insignificant difference in U-D interval\second between vacuum and manual method as regard average size feti but there was significant decrease in U-D interval\second in group used vaccum versus manual group as regard macrosomic feti.