Assisted Vaginal Delivery with OdonAssist™ in Women at Increased Hemorrhagic Risk: A Case Series

Background Inherited and acquired bleeding disorders represent a major clinical challenge in obstetrics as both Cesarean (C-section) and traditional assisted vaginal delivery (AVD) carry relevant maternal and neonatal risks in this population. The OdonAssist™ device has been developed as a novel instrument for AVD, with promising safety data. Cases presentation We report three term pregnancies complicated by acquired or inherited coagulopathies (Hemophilia A carrier, congenital hypofibrinogenemia and immune thrombocytopenia). Each woman required AVD in the second stage of labor. OdonAssist™ was used successfully, resulting in rapid delivery, reassuring neonatal outcomes (no cranial or soft-tissue trauma, normal Apgar and cord gases), and acceptable maternal morbidity (one case of mild perineal tear, one case of controlled postpartum hemorrhage without transfusion). Conclusions These cases suggest that OdonAssist™ may represent a safe alternative to conventional instruments in selected high-risk women with inherited bleeding disorders, where minimizing trauma is critical.