This educational content is not medical or diagnostic advice. Use of this site is subject to our terms of use and privacy policy. Registry Builder New. Vacuum Extraction During Delivery. Medically Reviewed by Mark Payson, M. Medical Review Policy All What to Expect content that addresses health or safety is medically reviewed by a team of vetted health professionals.
Joli Adore Photography. If baby is stalled in the birth canal, a vacuum extraction could ease her out of a pretty tight spot. Back to Top. Gynecologic problems FAQ Assisted vaginal delivery. American College of Obstetricians and Gynecologists. Jeon J, et al. Vacuum extraction vaginal delivery: Current trend and safety. Obstetrics and Gynecology Science. Greenberg J.
Procedure for vacuum-assisted operative vaginal delivery. Gabbe SG, et al. In: Obstetrics: Normal and Problem Pregnancies. Philadelphia, Pa. Toglia MR. Repair of perineal and other lacerations associated with childbirth. Postpartum care and long-term health considerations. Berkowitz LR. Postpartum perineal care and management of complications. Female urinary incontinence and voiding dysfunction adult. Prior to considering a vacuum procedure, your doctor will confirm the following:.
Cervical injury requires surgical repair and may lead to problems in future pregnancies. These spines are part of the pelvic bone and can be felt during a vaginal exam. If so, the chances for a successful vacuum delivery increase.
This usually occurs well before a vacuum extraction is considered. There are times when your baby is too big or your birth canal is too small for a successful delivery. Attempting a vacuum extraction in these situations will not only be unsuccessful but may result in serious complications. The risks of vacuum extraction are increased in premature infants. Therefore, it should not be performed before 34 weeks into your pregnancy.
Forceps may be used to assist in the delivery of preterm infants. Normal labor is divided into two stages. The first stage of labor begins with the onset of regular contractions and ends when the cervix is completely dilated. It may last between 12 and 20 hours for a woman having her first baby. If a woman has had a previous vaginal delivery, it can be considerably shorter, lasting only seven to ten hours. The second stage of labor begins when the cervix is fully dilated and ends with the delivery of the baby.
During the second stage, uterine contractions and your pushing cause the baby to descend through your cervix and birth canal. For woman having her first baby, the second stage of labor may last as long as one to two hours.
Maternal exhaustion may also prolong the second stage of labor. As long as your baby continues to descend and is not experiencing problems, pushing may continue. However, when descent is delayed or when the second stage has been greatly prolonged usually over two hours , your doctor may consider performing a vacuum-assisted vaginal delivery.
The effort required for effective pushing can be exhausting. Birth by vacuum extraction: neonatal outcome. J Paediatr Child Health. Neonatal subgaleal haematoma: associated risk factors, complications and outcome. Cutting your legal risks with vacuum-assisted delivery. OBG management.
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TABLE 1 Comparative Advantages of Vacuum Extractors and Forceps Vacuum extractors Easier to learn Quicker delivery Less maternal genital trauma Less maternal discomfort Fewer neonatal craniofacial injuries Less anesthesia required Forceps Fewer neonatal injuries, including cephalohematoma, retinal hemorrhage and transient lateral rectus palsy Higher rate of successful vaginal delivery Information from references 4 and 7 through Read the full article.
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Vacuum extractors. Less maternal genital trauma. Less maternal discomfort. Fewer neonatal craniofacial injuries. Less anesthesia required. Higher rate of successful vaginal delivery. Maternal indications. Inadequate maternal expulsive efforts.
Maternal exhaustion or lack of cooperation. Fetal indications. Nonreassuring fetal heart tracing. Prolonged second stage of labor. Failure to progress in second stage of labor. Incomplete cervical dilatation. Active bleeding or suspected fetal coagulation defects. Nonvertex presentation or other malpresentation. Cephalopelvic disproportion. Delivery requiring rotation or excessive traction.
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