Here is a reference you'll find relevant.
Charles C (1999) How it feels to be a midwife ventouse practitioner. British
Journal of Midwifery 7(6):380-82
Mulholland L (1997) Midwife ventouse practitioners. British Journal of
Midwifery 5(5):255
Denis Walsh
-----Original Message-----
From: [log in to unmask] <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 22 October 1999 07:39
Subject: Re: midwives and ventouse
>In a message dated 21/10/1999 23:15:25 GMT Daylight Time,
>[log in to unmask] writes:
>
>> I am seeking information regarding midwives using ventouse.
>>
>> I would like to know
>> a) where
>> b) when
>> and c) any results of evaluations of this use (if any)
>> regards
>>
>> Rosalee
>>
>
>In a study undertaken by the European Midwives Liaison Committee on the
>twelve then member states of the European Community (now European Union),
one
>question of the survey asked the statutory bodies, Head midwives and
clinical
>midwives questions related to the activities of the midwife as defined by
the
>Activities of the Midwives (European Directive 80/155/EEC).
>
>Several measures to alliviate abnormality were explored:
>- shoulder dystocia
>- manual removal of placenta
>- intra-uterine examination
>- vacuum extraction
>- forceps delivery
>to determine whether or not they were undertaken as part of normal practice
>or only in an emergency.
>
>As far as vacuum extraction was concerned, only the statutory authority in
>Denmark indicated that this was an activity permitted for its midwives.
9.5%
>of the Danish midwives surveyed stated that they undertook vaccuum
extraction
>as part of their normal practice. 15.8% of the Head midwives in Denmark
and
>0.6 in the UK allowed it as part of the normal practice of their midwives.
>But some midwives indicated that this was part of their normal practice:
>Belgium 3.5%
>France 3.6%
>Germany 1.5%
>Greece 2.1%
>Netherlands 1.7%
>Italy 10.1%
>Ireland 1.1%
>Luxembourg 2.4%
>Portugal 0%
>Spain 0.7%
>UK 0%
>
>Although it was only allowed by the Statutory authority, a number of Head
>midwives reported allowing midwives they were employing to undertake vacuum
>extractions:
>Belgium 12.1%
>Denmark 89.5%
>France 10.0%
>Germany 8.3%
>Greece 7.1%
>Netherlands 30.0%
>Italy 0%
>Ireland 0%
>Luxembourg 0%
>Portugal 0%
>Spain 0%
>UK 3.0%
>
>These proportions of midwives reported actually undertaking vacuum
extraction
>in an emergency:
>Belgium 6.6%
>Denmark 49.1%
>France 14.3%
>Germany 16.9%
>Greece 5.9%
>Netherlands 3.0%
>Italy 9.2%
>Ireland 1.1%
>Luxembourg 4.9%
>Portugal 5.0%
>Spain 11.6%
>UK 0.8%
>
>The questions asked were phrased as follow (in English and translated into
>the other eight national languages):
>Please indicate whether YOU carry out any of the following, AS PART OF
NORMAL
>PRACTICE by ringing 'yes' or 'no'
>- delivery by vacuum extraction
>
>Second question - identical except that "as part of normal practice" was
>replaced by "in an emergency".
>
>I am afraid I do not have information on other countries of Europe or
>elsewhere. In this study we did not evaluate the outcome of the procedure
>and I am not aware of any study without looking it up in MEDLINE or CINAHL.
>I suggest that this would be the first places to investigate for the
>effectiveness of the procedure when undertaken by midwives compared to
>obstetricians.
>
>I hope this may be helpful.
>
>Marianne Mead
>Translator to the European Midwives Liaison Committee
>
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