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Maternal and neonatal trauma during forceps and vacuum delivery must not be overlooked

Giulia Muraca and colleagues argue that Canada’s high rates of maternal and neonatal trauma following operative vaginal delivery warrant urgent recognition, transparency, and action

Operative vaginal deliveries—forceps and vacuum assisted deliveries—are recommended as safe, acceptable alternatives to caesarean delivery for women in the second stage of labour when descent of the fetal head is arrested, there is imminent risk to the baby, or there are conditions that contraindicate pushing (expulsive) efforts.123 Although available data on maternal and neonatal mortality and morbidity show no clear advantage of operative vaginal delivery over caesarean delivery, such comparisons often fail to recognise the impact of maternal trauma, the most common injury associated with operative vaginal delivery.3 This is particularly pertinent in Canada, which has the highest rate of maternal trauma after operative vaginal deliveries among high income countries (fig 1).4

Fig 1
Rate of obstetric anal sphincter injury from operative vaginal deliveries (forceps and vacuum assisted combined) in 24 Organisation for Economic Cooperation and Development (OECD) countries, 20194 *OECD=average among the 24 OECD countries

Each year, more than 35 000 singleton infants are born after attempted operative vaginal delivery in Canada. One in four (25.3%) attempted forceps deliveries and one in eight (13.2%) attempted vacuum deliveries result in maternal (obstetric) trauma, most commonly obstetric anal sphincter injury.5 Additionally, severe neonatal trauma occurs in one in 105 (9.6/1000) infants following attempted forceps or vacuum birth, with brachial plexus injury the most common trauma and neonatal death the most serious adverse outcome.56

Initiatives to decrease caesarean deliveries in North America that include scaling up training and use of operative vaginal deliveries need to acknowledge the serious safety concerns related to operative vaginal deliveries and ensure that women are informed of the risks of forceps, vacuum, and second stage caesarean …

Canada , United-kingdom , United-states , Canadian , British , America , Sarka-lisonkova , Roxana-geoffrion , Giuliam-muraca , Rohan-dsouza , Giulia-muraca , Laurae-ralph

CSRWire - Bridging the Diagnosis Gap for Canada's Indigenous Children

CSRWire - Bridging the Diagnosis Gap for Canada's Indigenous Children
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Canada , New-zealand , United-states , Australia , United-kingdom , British , Canadian , Laura-arbour , Rex-wholster , Wyeth-wasserman , Nadine-caron , Faculty-of-medicine-department-surgery

Bridging the Diagnosis Gap for Canada's Indigenous Children

Bridging the Diagnosis Gap for Canada's Indigenous Children
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Canada , Australia , New-zealand , United-kingdom , United-states , British , Canadian , Rex-wholster , Wyeth-wasserman , Laura-arbour , Nadine-caron , Faculty-of-medicine-department-surgery

Bridging the Diagnosis Gap for Canada's Indigenous Children 2023-07-18

Bridging the Diagnosis Gap for Canada's Indigenous Children 2023-07-18
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Canada , Australia , New-zealand , United-kingdom , United-states , Canadian , British , Wyeth-wasserman , Laura-arbour , Nadine-caron , Department-of-medical-genetics , Indigenous-background-variant-library

Illumina: Bridging the Diagnosis Gap for Canada's Indigenous Children

Illumina: Bridging the Diagnosis Gap for Canada's Indigenous Children
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Africa: Analysis - Is HIV/Aids Misinformation and Denialism On the Rise Again? How to Counter Persistent Myths

Africa: Analysis - Is HIV/Aids Misinformation and Denialism On the Rise Again? How to Counter Persistent Myths
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Safety of COVID-19 mRNA Vaccines in Pregnancy Confirmed

The rate of health events was lower among pregnant persons than among nonpregnant female individuals following COVID-19 mRNA vaccinations.

Canada , United-kingdom , British , Canadian , Julie-bettinger , Manish-sadarangani , Pfizer , British-columbia-children-hospital-research-institute , Canadian-national-vaccine-safety , Rate-of-health-events , Vaccine-evaluation-center , Significant-health-events

Safety of COVID-19 mRNA Vaccines in Pregnancy Confirmed

The rate of health events was lower among pregnant persons than among nonpregnant female individuals following COVID-19 mRNA vaccinations.

Canada , United-kingdom , British , Canadian , Julie-bettinger , Manish-sadarangani , Christine-olson , Centers-for-disease , Rate-of-health-events , Vaccine-evaluation-center , Canadian-immunization-research-network , British-columbia-children-hospital-research-institute

Safety of COVID-19 mRNA Vaccines in Pregnancy Confirmed

The rate of health events was lower among pregnant persons than among nonpregnant female individuals following COVID-19 mRNA vaccinations.

Canada , United-kingdom , British , Canadian , Julie-bettinger , Manish-sadarangani , Christine-olson , Centers-for-disease , Pfizer , British-columbia-children-hospital-research-institute , Canadian-national-vaccine-safety , Rate-of-health-events

Study Confirms mRNA Vaccine Safe In Pregnancy

Study Confirms mRNA Vaccine Safe In Pregnancy
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