The Use of the Obstetric Vacuum Extractor for Rotational and Non-Rotational Vaginal Delivery

Vacuum-assisted birth is a safe delivery method when performed by a skilled provider. Vacuum extraction can prevent prolonged second stage of labor, birth asphyxia in the presence of fetal distress, or when maternal pushing is contraindicated. However, vacuum-assisted births, especially those involving mid-pelvic rotational deliveries, have increasingly been replaced by cesarean sections, even though they generally carry a potentially higher risk for women and future children. This article provides detailed information on the indications and contraindications of vacuum-assisted birth, as well as the basic principles of the vacuum technique. It also includes a dedicated section on vacuum extraction for rotational births. When obstetric caregivers are knowledgeable, trained, and experienced in these techniques, vacuum extraction can greatly enhance the safety of childbirth.