What are some of the indications during delivery that vacuum extraction would be used?
A. Maternal fatigue is one indication. A woman who has had an extended pushing stage or a long labor may be too physically tired to push with the effort that may be required. Another reason would be a narrow vaginal opening where the elasticity of the perineum muscles are too tight in relation to the size of the baby’s head. In situations where the emphasis on shortening the pushing stage of labor (for example, if there was concern about the baby’s heart rate) one choice for delivering the baby would be by using vacuum extraction. Q. How is a vacuum extraction procedure done? A. The procedure involves the placement of a small, soft rubber cap-like instrument, which is applied to the baby’s head. The cup is attached to a hand-held suction applicator calibrated to a gentle pressure which is needed to enhance the downward movement of the baby without causing any permanent damage. The pressure apparatus is controlled by the assisting nurse while the movement of the suction cup is monitored
