阴道手术分娩的新挑战：Odon装置。系统回顾

IF 1.6 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of gynecology obstetrics and human reproduction Pub Date : 2025-08-27 DOI:10.1016/j.jogoh.2025.103017

Mattia Dominoni , Gabriele Rasore , Martina Rita Pano , Alessia Scimeca , Barbara Gardella

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引用次数: 0

摘要

手术阴道分娩是第二产程加速分娩的最佳选择；然而，这项技术需要精确的临床评估，定制的护理，熟练和受过适当教育的工人，以避免产妇和胎儿并发症。本系统综述的目的是分析一种用于阴道手术分娩的新型器械——Odon装置的创新、设计和有效性，以改善临床实践中的产中产科护理，促进器械阴道分娩，提高孕产妇和新生儿的预后。通过PubMed、EMBASE、Web Of Science等电子数据库进行文献检索。我们考虑了从2000年到2025年1月在线发表的关于使用Odon装置进行阴道手术分娩的论文。本研究采用系统评价和元分析首选报告项目（PRISMA）标准进行。两位审稿人独立筛选所选研究的摘要，并从全文文章中提取数据。随后将数据制成表格并进行评估。我们选择了14项适合本系统评价的研究。使用Odon装置可加快阴道分娩手术，其结构特点和临床应用均具有安全、可行和有效的特点。没有与分娩期间使用该装置相关的严重孕产妇和新生儿不良事件。没有严重的不良反应。操作者报告了对这种新仪器的使用和应用的满意度。孕妇和产科也报告了良好的评价和积极的体验。总之，I期和II期试验表明，Odon装置具有令人满意的安全性、可行性和有效性，因此除了现有的阴道分娩手术外，可以考虑将其用于潜在的临床应用。需要随机临床研究来明确与其他OVD器械相比，在新生儿中使用Odon装置的潜在益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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New challenges in operative vaginal delivery: the Odon device. A systematic review

Operative vaginal delivery is the best option for accelerating labor in the second stage labor; however, this technique requires precise clinical assessment, customized care, skilled and appropriately educated workers, in order to avoid both maternal and fetal complications. The aim of this systematic review is to analyze the innovation, design, and effectiveness of a new instrument for Operative Vaginal Delivery, the Odon device, in order to improve intrapartum obstetric care in clinical practice, to facilitate the instrumental vaginal birth, and increase maternal and neonatal outcomes.

A literature search was conducted thought electronic databases PubMed, EMBASE, Web Of Science. We considered papers published online from 2000 until January 2025, reporting the use of Odon device for operative vaginal delivery. The research was performed utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards. Two reviewers independently screened the abstracts of the selected studies and extracted data from full-text articles. The data were subsequently tabulated and evaluated. We selected 14 studies suitable for this systematic review.

The operative vaginal birth is expedited with the Odon Device, which reported a safe, feasible and effective profile, both for structural characteristics and clinical application. There are no serious maternal and neonatal adverse events related to the use of the device during birth. There are no serious adverse device effects. The operators reported elevated value of satisfaction about the use and application of this new instrument. A favorable evaluation and positive experience were reported also by pregnant women and obstetrics. In conclusion, phase I and II trials show that the Odon device has satisfactory safety, feasibility, and efficacy profile, so it may be considered for potential clinical uses in addition to existing procedures for operative vaginal delivery. Randomized clinical studies are required to clarify the potentials benefits associated with the use of the Odon device on newborns in comparison to other instruments for OVD.

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来源期刊

Journal of gynecology obstetrics and human reproduction Medicine-Obstetrics and Gynecology

CiteScore

3.70

自引率

5.30%

发文量

210

审稿时长

31 days

期刊介绍： Formerly known as Journal de Gynécologie Obstétrique et Biologie de la Reproduction, Journal of Gynecology Obstetrics and Human Reproduction is the official Academic publication of the French College of Obstetricians and Gynecologists (Collège National des Gynécologues et Obstétriciens Français / CNGOF). J Gynecol Obstet Hum Reprod publishes monthly, in English, research papers and techniques in the fields of Gynecology, Obstetrics, Neonatology and Human Reproduction: (guest) editorials, original articles, reviews, updates, technical notes, case reports, letters to the editor and guidelines. Original works include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses.