Impact of delivery indication on levator ani muscle avulsion in forceps‐ and vacuum‐assisted deliveries: prospective cohort study
There was no significant difference in the prevalence of LAM avulsion between forceps and vacuum deliveries when the indication for AVD was fetal distress, but the odds of LAM avulsion were 3-fold higher for forceps delivery when the indication was protracted second stage of labor. Forceps delivery was associated with a 51% reduction in the odds of neonatal injury compared with vacuum delivery, independent of indication for AVD. © 2025 International Society of Ultrasound in Obstetrics and Gynecology.
Authors
- Ingrid Volløyhaug (ORCID: https://orcid.org/0000-0001-9392-1674)
- Jörg Kessler (ORCID: https://orcid.org/0000-0003-2931-2668)
- Sindre Grindheim (ORCID: https://orcid.org/0000-0001-7375-8080)
- Elham Baghestan (ORCID: https://orcid.org/0000-0003-0933-6988)
- Franziska Siafarikas (ORCID: https://orcid.org/0000-0002-7413-8307)
Institutions
- Oslo University Hospital (NO)
- University of Oslo (NO)
- Norwegian University of Science and Technology (NO)
- Akershus University Hospital (NO)
- Haukeland University Hospital (NO)
- St Olav's University Hospital (NO)
- University of Bergen (NO)
Publication Details
- Journal
- Ultrasound in Obstetrics and Gynecology
- Published
- 2025-09-23
- DOI
- https://doi.org/10.1002/uog.70094
- Primary Topic
- Pelvic floor disorders treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00