A technique variant for the use of the vacuum extractor with episiotomy to reduce maternal injuries

Abstract

Vulvovaginal tears during childbirth are a relevant factor of morbidity and are often more extensive in case of forceps or vacuum application. Although it is not routinely recommended, episiotomy is the primary mean to reduce the maternal lesion and is commonly used in case of operative delivery, also if sometimes is not able to avoid lacerations. Episiotomy technique as any procedure can be improved. This study suggests a new procedure that has been applied and can significantly reduce maternal vaginal tears during operative childbirth with vacuum extraction.