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Vacuum extraction: When is it a necessary procedure?

On Behalf of | Mar 20, 2025 | Birth Injuries

Vacuum extraction is a commonly used technique in childbirth, specifically in assisting with vaginal delivery. This process involves a vacuum extractor, which is a tool with a soft cup that creates suction to attach to the baby’s head. The healthcare professional gently uses a handle on the cup to assist in guiding the baby down the birth canal as the mother pushes with each contraction.

When is it necessary?

This procedure is typically used or recommended in situations where:

  • The baby is not progressing down the birth canal
  • The mother is too exhausted to continue pushing
  • There are signs of fetal distress
  • The mother has a medical condition that limits her ability to push effectively

While vacuum extraction can help avoid a cesarean section (C-section) and facilitate a quicker delivery, it does carry some risks, including potential injuries to the mother and baby.

What are the potential risks?

When done correctly, the risk of injury in a vacuum extraction is relatively low. However, it can still lead to birth injuries for both the baby and the mother. Common injuries include:

  • Bruising or swelling of the baby’s scalp, known as caput succedaneum
  • Cephalohematoma or bleeding under the baby’s scalp, which may lead to jaundice
  • Rare but serious bleeding inside the skull (intracranial hemorrhage) that can potentially lead to brain damage
  • Stretching or tearing of the nerves in the neck or shoulder area, leading to conditions like Erb’s palsy or brachial plexus palsy
  • Skull fractures, if there was excessive force

The mother may also experience injuries, such as tears or cuts in the vaginal area or postpartum hemorrhage. While these risks exist, health care providers must take measures to minimize them. They must only use vacuum extraction when the benefits outweigh the potential risks.

Can you file a claim for a vaginal extraction injury?

Yes, you could file a medical malpractice claim for the use of vacuum extraction if the doctor performed the procedure negligently, leading to harm to the mother or baby. For example, they used vacuum extraction when it was not medically necessary or appropriate. Failure to monitor the mother and baby for signs of distress, leading to complications, may also count as negligence.

If you suspect negligence led to a birth injury, consult with an attorney. They can help you assess the viability of your claim and guide you through the legal process.

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