Background and aim Cesarean section is the surgical delivery of a baby through incisions in the uterus and abdomen. Its rate has steadily elevated and is now the most frequent surgery globally. This study aimed to assess the safety (for both fetus and mother) and effectiveness of vacuum-assisted Cesarean delivery. Patients and methods This randomized controlled investigation involved 60 women having cesarean section at Al-Azhar University Hospital, Assiut (October 2023–January 2025). They have been separated into group A (30 cases with vacuum extraction) and group B (30 cases with manual extraction) of the nonengaged head of the fetus. Results A statistically insignificant variance was observed among the vacuum extraction and manual extraction groups regarding gestational age, parity, birth weight, and APGAR scores at 1 and 5 min. In the vacuum extraction group, the number of pulls ranged from 1 to 3, with 13.3% experiencing cup detachment and a 6.7% failure rate. Neonatal outcomes, including NICU admission, need for resuscitation (13.3 vs. 16.7%), and incidence of cephalohematoma (6.7 vs. 0%), showed insignificant differences between groups. Maternal outcomes revealed a significantly shorter incision length in the vacuum extraction group (9.0±1.3 vs. 12.8±2.1 cm). In contrast, postpartum hemorrhage, blood loss, extension of uterine incision angles, head extraction time, and U-D interval showed insignificant differences. Conclusion Vacuum extraction significantly reduced incision length compared with manual extraction, with no significant differences in neonatal outcomes or maternal complications.
Fouad et al. (2026) studied this question.