Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
April 10, 2026ChildrenOpen Access

Operative Vaginal Delivery Compared to Cesarean After Failed Labor: A Population-Based Analysis of Neonatal and Maternal Outcomes

View Full Paper
Ask AI
Bookmark
Share

Authors

YCYvalis Cortes-RojasBFBraxton Forde

Discussion

Loading...

Member takes

Overview

Retrospective cohort study compares neonatal and maternal outcomes between operative vaginal delivery and cesarean delivery, suggesting benefits of OVD.

Key Points

  • To compare neonatal and maternal outcomes of operative vaginal delivery versus cesarean delivery after failed labor.
  • Retrospective cohort study of singleton live births in the U.S.
  • Used 2023 National Vital Statistics birth certificate dataset.
  • Analyzed outcomes stratified by type of OVD (FAVD and VAVD).
  • Calculated adjusted odds ratios using multivariable logistic regression.
  • Neonatal morbidity was significantly lower in FAVD (aOR 0.71) and VAVD (aOR 0.57) compared to cesarean delivery.
  • VAVD had the lowest rates of assisted ventilation (aOR 0.52) and NICU admissions (aOR 0.48).
  • Antibiotic use was significantly reduced only in VAVD.
  • Maternal morbidity was highest in FAVD, primarily from perineal lacerations.
  • Cesarean delivery had higher rates of ICU admission, hysterectomy, and ruptured uterus compared to OVD.

Cite This Study

Cortes-Rojas et al. (2026) studied this question.

synapsesocial.com/papers/69d893a86c1944d70ce04a5chttps://doi.org/10.3390/children13040511
View Full Paper
Ask AI
Bookmark
Share

Also Consider

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

  1. 1Comparative outcomes and predictive factors in vacuum, forceps, and sequential vacuum-forceps operative vaginal deliveries2026
  2. 2Severe Neonatal Morbidity in Forceps versus Vacuum Birth among Individuals with Previous Cesarean Birth: A Population-Based Retrospective Cohort Study2025
  3. 3Maternal and Neonatal Outcomes Associated With Cesarean Versus Vaginal Delivery in the United States: A Population-Based Retrospective Cross-Sectional Analysis of CDC Natality Public Use Data (2017-2020)2026
  4. 4Maternal and neonatal outcomes following emergency cesarean section or operative vaginal delivery for fetal distress in the second stage of labor2026
  5. 5A retrospective analysis of the risk factors for vacuum-assisted vaginal deliveries and outcomes following mid/low cavity and perineal applications2026