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September 5, 2025American Journal of Perinatology

Severe Neonatal Morbidity in Forceps versus Vacuum Birth among Individuals with Previous Cesarean Birth: A Population-Based Retrospective Cohort Study

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Authors

IOIrina OlteanAKAbirami KirubarajanVHV. Hébert

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Overview

Retrospective cohort study compares neonatal morbidity in forceps and vacuum births with previous cesarean births, indicating no significant differences.

Key Points

  • Rates of severe neonatal morbidity are higher following operative births compared to spontaneous vaginal births.
  • The study identified a 39% increase in odds of assisted ventilation > 6 hours in forceps births compared to vacuum, highlighting instrument impact.
  • While rates of severe neonatal morbidity are higher for forceps versus vacuum births, this difference was not statistically significant.
  • Patient preference and clinical situation should guide the choice of delivery instrument among individuals with prior cesarean.

Cite This Study

Oltean et al. (2025) studied this question.

synapsesocial.com/papers/68bb3a2b2b87ece8dc9548c4https://doi.org/10.1055/a-2682-6209
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Preterm assisted vaginal births and associated maternal and neonatal outcomes: A retrospective study in a tertiary hospital2026
  2. 2Comparative outcomes and predictive factors in vacuum, forceps, and sequential vacuum-forceps operative vaginal deliveries2026
  3. 3Severe maternal and neonatal morbidity or mortality in forceps versus cesarean birth in the second stage of labor: A systematic review and meta‐analysis2026
  4. 4Operative Vaginal Delivery Compared to Cesarean After Failed Labor: A Population-Based Analysis of Neonatal and Maternal Outcomes2026
  5. 5Maternal and Neonatal Morbidity with Sequential Instrumental Delivery as Compared to the Single-use at Operative Vaginal Delivery: A Retrospective Study2026