may 2008 wilma doedens humanitarian response unit unfpa-geneva vacuum extraction kiwi omnicup
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May 2008
Wilma Doedens Humanitarian Response Unit
UNFPA-Geneva
Vacuum Extraction
Kiwi Omnicup
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Assisted vaginal delivery
• Up to 15% of all deliveries*
• Forceps or vacuum extraction (ventouse)
• Vacuum extraction is method of choice*
• RH in emergency settings (MISP)- BEmOC is part of MISP
- BEmOC includes assisted vaginal delivery
- Vacuum Extractor included in IA RH Kit 10
http://www.who.int/rhl/reviews/CD000224.pdf: Johanson RB, Menon V. Vacuum extraction versus forceps for assisted vaginal delivery. Cochrane Database of Systematic Reviews 1999,
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In Kit 10: VE Malström
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“traditional“ manual VE
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New technology: Kiwi Omnicup
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New technology: Kiwi Omnicup
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VE with Kiwi Omnicup
Advantages Single operator Similar performance Compact, cheaper to ship Less risk of breakage?
Disadvantages Staff may need training Small parts can get lost Unknown durability
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Including Kiwi in RH kit
Challenges
• Need WHO recommendation/support
• Sole manufacturer: Clinical Innovations
• Is the reuseable version useful in very low resource settings (crises)?
Next steps• Operational research with MSF: - Durability ease of use, cleaning and sterilization
- Questionnaires to 5 sites, results from 2 so far
- Analyse results and formulate recommendation
• Technical RH kit review meeting
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Kiwi: experience so far
• Initial problems with product breakage and recommended cleaning process
• Adaptations made
• Interest is high
- site in Liberia was re-using disposable Kiwi!
• MSF convinced: included in catalogue