Indications

The main indications for the obstetrical iCup2® vacuum assisted delivery cup are as follows:

• The fetal head ceases to progress from the interspinous strait of the pelvis. In a cephalic presentation, arrest of the baby’s descent in the interspinous strait of the pelvis is very often due to incorrect rotation of a posterior position, and additional flexion makes it possible to turn the baby to an anterior position thus allowing delivery to take place via the vaginal route
• To assist delivery in women with uterine scarring
• Uterine inertia in addition to oxytocins
• Any anomaly of the fetal heart rate (FHR) requiring assisted delivery cup NOTE: Fetal wellbeing and ultrasound estimation of the weight of the fetus must always be taken into account before deciding that extraction is indicated. Any anomalies of heart rate and/or a heavier-than-normal estimated fetal bodyweight should lead to a reconsideration of the indication for fetal extraction based on a risk/benefit calculation.

Contraindications

The main contraindications for using the iCup2® obstetrical cup are: 

• Prematurity - less than 34 weeks
• Face, breech, brow or transverse (shoulders) presentations
• Incomplete dilatation of the cervix
• Non-engagement of presentation or presentation in the upper part of the pelvic strait
• An indeterminate position
• The presence of a large caput succedaneum
• Important asynclitism of the fetal head
• Neonatal hemorrhagic syndromes (hemophilia, in-utero blood clotting disorder, continuous phenobarbital use by the mother)
• Fetuses with a bone mineralization defect (incomplete osteogenesis)
• Pelvic calluses
• Fetopelvic disproportion
• Suspected fetal macrosomia
• Dynamic dystocia or engagement
• Existence of fetal hypoxia, existence of maternal-fetal infection
• General anesthesia
• An un-cooperative mother
• An inexperienced obstetrician


NB: the presence of a scalp-electrode or micro blood sampling from the scalp are not viewed as being contraindications for the obstetrical cup.

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