Jyoti Vikas Rokade


Increased use of caesarean section and a lower willingness about vaginal birth post caesarean has prompted the need of
alternate delivery techniques. We assess vacuum assisted delivery (of fetal head) for a sample group of 300 patients
delivered with LSCS using vacuum, compared against a control group of 300 patients with the fetal head delivered manually or by forceps/
extending uterine incision. In our data, subjects were full term, with 64 % of vacuum assisted group and 69 % in manual extraction were in labour.
Incision to delivery interval was 10-30 seconds (average 18 seconds). In comparison to cases with traumatic extension of angle, 9% patients from
control and only 1% from sample group had extension. Mean blood loss in control and sample group was 700 ml and 400 ml respectively. None of
the babies in sample group had vacuum related scalp injuries. We conrm vacuum assisted LSCS is safe, atraumatic with obstetrician's well
familiarity with the technique as a prerequisite.


LSCS, Vacuum assisted delivery, Safety

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Bercovici, B. (1980). Use of vacuum extractor for head delivery at Cesarean section. Isr J Med Sci., 16(3), 201–203.

Bofill, J. A., Lencki, S. G., Barhan, S., & Ezenagu, L. C. (2000). Instrumental delivery of the fetal head at the time of effective repeat cesarean: A pilot study. American Journal of Perinatology, Volume 17(Number 05), 265–270.

Clark, S. L., Vines, V. L., & Belfort, M. A. (2008). Fetal injury associated with routine vacuum use during cesarean delivery. American Journal of Obstetrics and Gynecology, 198(4), e4.

Declercq, E., Young, R., Cabral, H., & Ecker, J. (2011). Is a Rising Cesarean Delivery Rate Inevitable? Trends in Industrialized Countries, 1987 to 2007. Birth, 38(2), 99–104.

Fareeduddin, R., & Schifrin, B. S. (2008). Subgaleal hemorrhage after the use of a vacuum extractor during elective cesarean delivery: a case report. The Journal of Reproductive Medicine, 53(10), 809–810. Retrieved from

McQuivey, R. (2004). Vacuum-assisted delivery: a review. J Matern Fetal Neonatal Med., 16(3), 171–180.

Molina, G., Weiser, T. G., Lipsitz, S. R., Esquivel, M. M., Uribe-Leitz, T., Azad, T., Haynes, A. B. (2015). Relationship Between Cesarean Delivery Rate and Maternal and Neonatal Mortality. JAMA, 314(21), 2263–2270.

Nakano, R. (1981). Use of the vacuum extractor for delivery of the fetal head at cesarean section. Am J Obstet Gynecol., 141(4), 475–76.

SOLOMONS, E. (1962). Delivery of the head with the Malmstrom vacuum extractor during cesarean section. Obstetrics and Gynecology.

Spong, C. Y., Berghella, V., Wenstrom, K. D., Mercer, B. M., & Saade, G. R. (2012). Preventing the first cesarean delivery: Summary of a joint eunice kennedy shriver national institute of child health and human development, society for maternal-fetal medicine, and American College of Obstetricians and Gynecologists Workshop. Obstetrics and Gynecology.


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