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Book

Vacuum Extraction

In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan.
.
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Book

Vacuum Extraction

Tiffany Tonismae et al.
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Excerpt

Operative vaginal delivery is used to expedite vaginal delivery for either maternal or fetal indication. Options for operative delivery include both vacuum-assisted and forceps deliveries, and options may be chosen based on physician comfort, and personalized base on the patient. Indications for operative delivery include maternal exhaustion, non-reassuring fetal heart rate tracing, a prolonged second stage of labor, or to shorten the second stage of labor in certain maternal conditions such as cardiovascular or neurological disease. Vacuum delivery is discouraged when delivering a fetus that is less than 34 weeks.

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Conflict of interest statement

Disclosure: Tiffany Tonismae declares no relevant financial relationships with ineligible companies.

Disclosure: Christinne Canela declares no relevant financial relationships with ineligible companies.

Disclosure: William Gossman declares no relevant financial relationships with ineligible companies.

References

    1. Bergendahl S, Lindberg P, Brismar Wendel S. Operator experience affects the risk of obstetric anal sphincter injury in vacuum extraction deliveries. Acta Obstet Gynecol Scand. 2019 Jun;98(6):787-794. - PubMed
    1. van den Akker T. Vacuum extraction for non-rotational and rotational assisted vaginal birth. Best Pract Res Clin Obstet Gynaecol. 2019 Apr;56:47-54. - PubMed
    1. Åberg K, Norman M, Pettersson K, Järnbert-Pettersson H, Ekéus C. Protracted vacuum extraction and neonatal intracranial hemorrhage among infants born at term: a nationwide case-control study. Acta Obstet Gynecol Scand. 2019 Apr;98(4):523-532. - PubMed
    1. Vannevel V, Swanepoel C, Pattinson RC. Global perspectives on operative vaginal deliveries. Best Pract Res Clin Obstet Gynaecol. 2019 Apr;56:107-113. - PubMed
    1. Sainz JA, García-Mejido JA, Aquise A, Borrero C, Bonomi MJ, Fernández-Palacín A. A simple model to predict the complicated operative vaginal deliveries using vacuum or forceps. Am J Obstet Gynecol. 2019 Feb;220(2):193.e1-193.e12. - PubMed

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