WeMoms
2 Apr 2024

Delivery by Vacuum Extraction: What You Need to Know

Delivery by Vacuum Extraction: What You Need to Know
Delivery by vacuum extraction, also known as vacuum-assisted vaginal delivery, is a medical procedure used to assist in the safe delivery of a baby.
It is typically employed when the mother has difficulty pushing the baby out or when there are concerns about the baby's well-being during the pushing stage.
Indications for Vacuum Extraction 🏥⚠️
Vacuum extraction may be recommended in various situations, including:
  • Prolonged second stage of labor: If the pushing stage of labor extends beyond a certain duration without progress, vacuum extraction may be used to assist in the delivery.
  • Maternal exhaustion: If the mother is exhausted and unable to continue pushing effectively, vacuum extraction can help facilitate the baby's birth.
  • Fetal distress: If there are concerns about the baby's well-being, such as abnormal heart rate patterns, vacuum extraction may be performed to expedite delivery.
  • Certain medical conditions: In some cases, medical conditions such as maternal heart disease or certain infections may warrant the use of vacuum extraction.
It's important to remember that the decision to proceed with vacuum extraction will be based on careful assessment by your healthcare provider and considerations of the specific circumstances of your labor.
The Vacuum Extraction Procedure 💡👩‍⚕️
During vacuum-assisted vaginal delivery, the healthcare provider uses a vacuum device, which consists of a cup attached to a vacuum pump, to aid in the baby's delivery. Here's an overview of the procedure:
  1. Preparation: Your healthcare provider will ensure that you are in the appropriate position, such as lying on your back with your legs supported.
  2. Cup placement: A soft or rigid cup with a handle will be gently placed on the baby's head. The cup is carefully positioned and attached to the vacuum pump.
  3. Application of suction: The vacuum pump is activated, creating a vacuum that gently draws the baby's head into the cup, providing traction during contractions and pushing efforts.
  4. Guided delivery: As you continue to push during contractions, the healthcare provider will guide and assist the baby's head through the birth canal.
  5. Cup removal: Once the baby's head is delivered, the vacuum cup is detached, and the rest of the baby's body is delivered through a normal vaginal birth.
Throughout the procedure, your healthcare provider will closely monitor the progress and ensure the safety and well-being of both you and your baby.
Benefits and Potential Risks ⚖️🌟
Delivery by vacuum extraction can offer several benefits in appropriate situations, including:
  • Avoiding the need for a cesarean section: Vacuum extraction can help avoid a cesarean section in certain cases where vaginal delivery is still possible.
  • Shorter pushing stage: By aiding in the delivery process, vacuum extraction can reduce the duration of the pushing stage, relieving maternal exhaustion.
  • Facilitating a safe delivery: Vacuum extraction can be a valuable tool to assist in the safe delivery of babies when there are concerns about fetal distress or other complications.
However, it's important to be aware of potential risks and complications associated with vacuum extraction, such as:
  • Maternal discomfort or injury: The use of vacuum extraction can lead to temporary maternal discomfort or minor injuries, such as vaginal tears or bruising.
  • Head molding or scalp injuries: The vacuum cup may cause temporary changes in the shape of the baby's head (head molding) or minor scalp injuries, which typically resolve shortly after birth.
  • Rare complications: Rarely, more serious complications, such as intracranial hemorrhage or nerve damage, may occur, although they are extremely uncommon.
Your healthcare provider will carefully assess the risks and benefits specific to your situation and ensure that the procedure is performed with utmost care and consideration for your and your baby's well-being.
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Juliette Seblon
Midwife for 8+ years