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Vacuum/Forceps Assisted Delivery

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What is it?
A vacuum is a cap like device is attached to the baby's head.  A rubber tube extends from the cap to a vacuum pump that creates suction on the baby's head.  Forceps are two "spoon like" instruments that hook together to look like salad tongs that surround the baby's head.  Both instruments are used in conjunction with your contractions to guide the baby's head down the birth canal.

 Why do I need it?
In most instances a woman who needs this kind of assistance has been pushing quite a while and the baby's head is not descending.  If the doctor feels the baby or mother is in jeopardy they will suggest trying to pull the baby out with one of these devices instead of a cesarean section.  These tools may be a way of avoiding a cesarean section, but if the attempt is not successful a cesarean will most likely be necessary.

How does it feel?
Typically an episiotomy is done before either of these devices is put into place therefore anesthesia or other pain medications may be used with both of these devices.  Both devices can cause vaginal bruising and the mother will feel a tugging or pulling sensation with each contraction.
How will it affect my baby?

Both forceps and the vacuum will bruise your baby.  A vacuum assisted birth will leave your baby with a temporary bruise on the top of its head from the force of the suction.  Forceps create bruises on the sides of the babies head and have been linked to future neck problems.  Today in the U.S. most doctors prefer the vacuum to a forceps delivery however if the baby's head must be turned forceps tend to be used.

What are my other options?
Other options for optimal pushing are changing into a different position.  Typically utilizing gravity while pushing aids in quickening the pushing stage.  Mothers can use a squat bar that is provided by most hospitals, they can stand up and squat or they can get on all fours and push.  These positions have shown to decrease the amount of time mom spends pushing.

How soon must I make a decision?

This is individual to each mother and each doctor, but it is a valuable question to ask.  You may also ask if you can try changing positions before these methods are attempted.