Comparative Analysis of Obstetric Outcomes in Primiparous Versus Multiparous Women Undergoing Vacuum-assisted Delivery

Objective: To assess and compare maternal and neonatal outcomes of vacuum-assisted vaginal delivery in primigravid versus multigravid women.Method: This retrospective study analyzed the obstetric outcomes of 65 women who underwent vacuum-assisted vaginal delivery and statistically compared maternal and neonatal outcomes between the primigravid and multigravid groups.Results: Significant differences were observed between groups in labor duration, neonatal birth weight, and head circumference (p<0.05).Primigravid women had significantly longer labors, whereas multigravid women delivered neonates with higher birth weights and larger head circumferences.Episiotomy rates were notably higher in the primigravid group (p<0.001);however, no significant differences were found between groups for neonatal intensive care unit admissions, neonatal complications, or maternal complications (p>0.05). Conclusion:This study demonstrated that parity influences outcomes of vacuum-assisted vaginal deliveries, with no significant differences in neonatal outcomes between groups.The use of vacuum assistance in vaginal deliveries appears to prevent, rather than cause, asphyxia by expediting labor.Vacuum-assisted vaginal delivery can serve as an effective intervention to reduce unnecessary cesarean sections.