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Investigating the Vacuum Extractors of Biomedical Devices of Different Materials and Pressures on the Fetal Head during Delivery
oleh: Yu-Hsuan Chen, Kuo-Min Su, Ming-Tzu Tsai, Chi-Kang Lin, Cheng-Chang Chang, Kuo-Chih Su
Format: | Article |
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Diterbitkan: | MDPI AG 2021-09-01 |
Deskripsi
Operative delivery requires the use of a vacuum extractor; obstetricians can choose the appropriate vacuum extractor to make the delivery process smoother and safer. However, there is no biomechanical literature focused on the imposed effects of a vacuum extractor prepared with different materials and vacuum pressure on the fetal head during the process of delivery. Therefore, we first established and performed the finite element analytical model to explore the influences of vacuum extractors manufactured from different materials on the fetal head under various extractive pressures. The model of the vacuum extractor was designed as a hemispherical shape, and the material of the vacuum extractor was composed of silicone rubber and stainless steel for comparison. Four different vacuum pressures (500 cm H<sub>2</sub>O, 600 cm H<sub>2</sub>O, 700 cm H<sub>2</sub>O, and 800 cm H<sub>2</sub>O) were applied as the factors for investigation. The reaction force on the fetal head, von Mises stress of vacuum extractor, and von Mises stress on the skull of fetal head were measured and analyzed to evaluate the effects. The results revealed that subtle divergent influences of different vacuum pressures were observed, and the stainless-steel vacuum extractor induced a larger reaction force (358.04–361.37 N), accompanied with stress (13.547–13.675 MPa), on the fetal head than non-metallic or relatively softer materials. The results provide a reliable basis for selecting proper vacuum extractor during operative delivery to avoid obstetrical complications, such as scalp scratch, cephalohematoma and even intracerebral hemorrhage.