Table 3.
Individual adverse neonatal outcomes, stratified by duration of vacuum
| Number of pop-offs | |||||
| 0 | 1 | 2 | 3 or more | ||
| n = 1,823 | n = 674 | n = 372 | n = 166 | ||
| Brachial plexus injury (n = 3,035) | 5 (0.3%) | 1 (0.2%) | 1 (0.3%) | 0 | |
| Facial nerve palsy (n = 3,035) | 0 | 0 | 0 | 0 | |
| Clavicular fracture (n = 3,035) | 9 (0.5%) | 5 (0.7%) | 4 (1.1%) | 0 | |
| Skull/other skeletal fracture (n = 3,035) | 4 (0.2%) | 1 (0.2%) | 1 (0.3%) | 1 (0.6%) | |
| Skin laceration (n = 3,035) | 21 (1.2%) | 13 (1.9%) | 9 (2.4%) | 4 (2.4%) | |
| Intracranial hemorrhage (n = 3,035) | 6 (0.3%) | 5 (0.7%) | 6 (1.6%) | 3 (1.8%) | |
| Seizure requiring treatment (n = 3,035) | 3 (0.2%) | 1 (0.2%) | 1 (0.3%) | 0 | |
| Neonatal death (n = 3,029) | 0 | 1 (0.2%) | 0 | 0 | |
| Duration of operative vaginal delivery (min) | |||||
| 0–2 | 3–5 | 6–8 | 9–11 | 12 or more | |
| n = 850 | n = 694 | n = 363 | n = 163 | n = 298 | |
| Brachial plexus injury (n = 2,368) | 1 (0.1%) | 3 (0.4%) | 3 (0.8%) | 0 | 0 |
| Facial nerve palsy (n = 2,368) | 0 | 0 | 0 | 0 | 0 |
| Clavicular fracture (n = 2,368) | 2 (0.2%) | 5 (0.7%) | 3 (0.8%) | 1 (0.6%) | 1 (0.3%) |
| Skull/other skeletal fracture (n = 2,368) | 1 (0.1%) | 2 (0.3%) | 0 | 1 (0.6%) | 2 (0.7%) |
| Skin laceration (n = 2,368) | 4 (0.5%) | 6 (0.9%) | 5 (1.4%) | 4 (2.5%) | 10 (3.4%) |
| Intracranial hemorrhage (n = 2,368) | 1 (0.1%) | 4 (0.6%) | 3 (0.8%) | 1 (0.6%) | 5 (1.7%) |
| Seizure requiring treatment (n = 2,368) | 0 | 1 (0.1%) | 1 (0.3%) | 0 | 1 (0.3%) |
| Neonatal death (n = 2,362) | 0 | 0 | 0 | 0 | 0 |