During vacuum assisted vaginal delivery, the doctor or midwife will use a vacuum (also called a vacuum extractor) to help move the baby through the birth canal.
The vacuum uses a soft plastic cup that attaches to the baby's head with suction. The doctor or midwife uses a handle on the cup to move the baby through the birth canal.
Even after your cervix is fully dilated (open) and you have been pushing, you may need help getting the baby out. Reasons you may need help include:
Before the vacuum can be used, your baby needs to be far enough down the birth canal. Your doctor will check you carefully to make sure it is safe to use the vacuum. This device is only safe to use when the baby is very close to being born. If the head is too high, a Cesarean section (C-section) will be recommended.
Most women will not need the vacuum to help them deliver. You may feel tired and tempted to ask for a little help. But if there is no true need for a vacuum-assisted delivery, it is safer for you and your baby to deliver on your own.
You will be given medicine to block pain. This may be an epidural block or a numbing medicine placed in the vagina.
The plastic cup will be placed on the baby's head. Then, during a contraction, you will be asked to push again. At the same time, the doctor or midwife will gently pull to help deliver your baby.
After the doctor or midwife delivers the baby's head, you will push the baby the rest of the way out. After delivery, you can hold your baby on your tummy if they are doing well.
If the vacuum does not help move your baby, you may need to have a C-section.
There are some risks with vacuum-assisted delivery, but it rarely causes lasting problems when properly used.
For the mother, tears in the vagina or on the perineum are more likely to occur with a vacuum-assisted birth compared to a vaginal birth that does not use the vacuum.
For the baby, the risks are mostly about bleeding:
Nielsen PE, Galan HL. Operative vaginal delivery. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 6th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2012:chap 15.
Sakornbut EL. Intrapartum procedures. In: Ratcliffe SD, Baxley EG, Cline MK, Sakornbut EL, eds. Family Medicine Obstetrics. 3rd ed. Philadelphia, PA: Elsevier Mosby; 2008:chap 18.
Updated by: Cynthia D. White, MD, Fellow American College of Obstetricians and Gynecologists, Group Health Cooperative, Bellevue, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2015, A.D.A.M., Inc. Duplication for commercial use must be authorized in writing by ADAM Health Solutions.