Safety recommendations for vacuum-assisted delivery focus on limiting the number of pulls and the duration of the procedure. With the introduction of the Kiwi OmniCup vacuum extractor incorporating a Traction Force Indicator, it is now possible to reliably monitor and control the amount of traction force exerted on the fetal scalp. The OmniCup was used in a prospective observational study of 119 vacuum-assisted deliveries in nulliparous women to establish practical guidelines for safe practice in typical clinical settings.
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Aldo Vacca (2006) studied this question.
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