The past 20 years have seen a progressive shift away from the use of forceps in favor of the vacuum extractor as the instrument of choice. This article reviews in detail the indications, contraindications, patient selection criteria, choice of instrument, and technique for vacuum-assisted vaginal delivery. The use of vacuum extraction at the time of cesarean delivery will also be discussed.
A vacuum extraction — also called vacuum-assisted delivery — is a procedure sometimes done during the course of vaginal childbirth. During a vacuum-assisted vaginal delivery, a health care provider applies the vacuum — a soft or rigid cup with a handle and a vacuum pump — to the baby's head to help guide the baby out of the birth canal. This is typically done during a contraction while the mother pushes.
Related Editorial. Vacuum extractors have replaced forceps for many situations in which assistance is required to achieve vaginal delivery. Compared with metal-cup vacuum extractors, soft-cup devices are easier to use and cause fewer neonatal scalp injuries; however, they detach more frequently.
Obstetrical forceps and vacuums refer both to a heterogeneous group of instruments and the procedures employed to assist deliveries using these instruments. Though obvious differences between the mechanism and techniques of forceps and vacuums, the theoretical principles and clinical considerations related to their indications, contraindications, conditions for application, intrapartum and post-partum conduct and documentation apply to both types of instruments and in general will be dealt with as a common topic. Since destructive obstetrical procedures will not be considered here the term assisted vaginal deliveries AVDs is preferred to the term operative vaginal deliveries, which is more inclusive.
Assisted vaginal birth is a vital health intervention that can result in better outcomes for mothers and their babies when complications arise in the second stage of labour. Unfortunately, instruments for assisted vaginal birth forceps and ventouse are often not utilised in settings where there is most clinical need, resulting in maternal and neonatal morbidity and mortality which could have been prevented. The BD Odon Device is a new device for assisted vaginal birth that may be able to address this unmet need.
Back to patient information homepage. This patient information leaflet provides advice on vaginal birth assisted by ventouse or forceps. The purpose of an assisted vaginal birth is to mimic a normal spontaneous birth with minimum risk to you and the baby.
Assisted vaginal delivery is vaginal delivery of a baby performed with the help of forceps or a vacuum device. It sometimes is called operative vaginal delivery. There are two types of assisted vaginal delivery: 1 Forceps-assisted delivery 2 Vacuum-assisted delivery. Forceps look like two large spoons.
Assisted vaginal delivery is vaginal delivery of a baby performed with the help of forceps or a vacuum device. It sometimes is called operative vaginal delivery. There are two types of assisted vaginal delivery: 1 forceps-assisted delivery and 2 vacuum-assisted delivery.
Jump to navigation. This review of 32 studies women looks at assisted or instrumental vaginal deliveries in women in the second stage of labour. The importance of this review is due to the fact that Instrumental delivery is a frequent intervention in childbirth and in some cases may result in harmful outcomes for either mother or baby or both.