Which technique is better to place a manoeuvrable vacuum extractor cup on the flexion point? Vacca vs. Bird technique
Publicated to:JOURNAL OF PERINATAL MEDICINE. 48 (7): 694-699 - 2020-09-01 48(7), DOI: 10.1515/jpm-2020-0077
Authors: Javier Cuerva, Marcos; Angel Espinosa, Jose; Barras, Silvia; Gonzalez-Cerron, Silvia; Ojeda, Faride; Cortes, Marta;
Affiliations
Abstract
Objectives: The purpose of this study is to compare the vacuum extractor cup application technique described by Bird vs. the technique described by Vacca on a simulation model.Methods: Six obstetricians participated in the study. Each obstetrician performed eight vacuum assisted deliveries using the Bird technique and eight vacuum assisted deliveries using the Vacca 5-Steps technique.Results: A total of 96 vacuum assisted deliveries were performed. The mean distance from the centre of the cup to the flexion point was 1.78 +/- 0.96 cm for the Bird technique and 1.05 +/- 0.60 cm for the Vacca technique (p<0.001). The lateral distance (over the parietal bone) was 1.16 +/- 0.69 cm for the Bird technique and 0.66 +/- 0.52 cm for the Vacca technique (p<0.001). The vertical distance (towards the frontal or occipital bone) was 1.12 +/- 1.02 cm for the Bird technique and 0.67 +/- 0.55 cm for the Vacca technique (p=0.009). In occipito anterior positions, there were no significant differences between both techniques.Conclusions: The Vacca technique was better in transverse and posterior positions.
Keywords
Quality index
Bibliometric impact. Analysis of the contribution and dissemination channel
The work has been published in the journal JOURNAL OF PERINATAL MEDICINE due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2020, it was in position , thus managing to position itself as a Q2 (Segundo Cuartil), in the category Pediatrics, Perinatology and Child Health. Notably, the journal is positioned en el Cuartil Q3 for the agency WoS (JCR) in the category Pediatrics.
Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.
Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2025-08-13:
- WoS: 1
- Scopus: 1
Impact and social visibility
Leadership analysis of institutional authors
There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (CUERVA GONZALEZ, MARCOS JAVIER) .