Vacuum extraction is a medical procedure that may be used to help aid in childbirth. The procedure may be used when labor is not proceeding or progressing as it should. Using a device like a vacuum extractor to aid delivery is known as assisted delivery. Using forceps to help with the delivery is another example of assisted delivery.
There are important reasons why a doctor may choose to use this procedure, but there are also risks. You or your baby could be harmed during the process of using a vacuum extractor, and if you believe your doctor made an error or was negligent in causing damage, you may want to seek compensation with the assistance of a birth injury lawyer. A vacuum extraction can even cause brain damage, which can lead to a variety of disabilities including cerebral palsy.
How Vacuum Extraction Works
The procedure uses a vacuum and suction to guide the baby out of the birth canal. To use vacuum extraction, a cup is attached to the baby’s head. A vacuum pump then produces suction and the doctor uses a handle on the device to pull the baby out. The suction is typically applied, and the pulling motion used, when the mother is in the middle of a contraction to use the two forces together.
Why Suction Is Used in Childbirth
Vacuum extraction is used as a technique to aid childbirth, and a doctor may choose to use it for several reasons. Generally suction is used when labor isn’t progressing or there is an urgent need to deliver the baby, either for the health of the mom or the child. Some of the specific reasons this procedure may be used include:
- A health issue in the mother. For instance, if the mother has a heart condition and the doctor is concerned that she is putting too much stress on her heart by pushing. Even if she does not have a specific health problem, when the mother is exhausted from pushing, vacuum extraction can help.
- The baby’s heartbeat is abnormal. If the doctor hears something unusual in the baby’s heartbeat, it may be important to deliver immediately. In that case, vacuum extraction can be used to speed up the process.
- Labor just isn’t progressing. There may be no know reason for it, but if labor is not progressing, in spite of the mother pushing, aided delivery may be needed. This point is typically reached after two to three hours of pushing and no progression for a first delivery and one to two hours with no progression for a woman who has given birth previously.
Reasons Not to Use Vacuum Extraction
Vacuum extraction can be safe, but there are times and situations in which it is generally not recommended. The cup has to be attached to the baby’s head, so if the head cannot be found, this method won’t work. If the head is not far enough down in the birth canal, vacuum extraction shouldn’t be applied either. It should also not be used if the mother is less than 34 weeks along in her pregnancy.
If the baby has a known condition that weakens the bones or that may cause bleeding, vacuum extraction is considered to be too risky. It may cause dangerous bleeding or broken bones in the baby. Another reason to not use vacuum extraction, and to perform a cesarean section delivery as an alternative, is if the size of the baby is a concern. The doctor may be concerned that the baby is too large to fit through the birth canal.
The Risks of Using Vacuum Extraction
Using suction from a vacuum extractor to help guide the baby from the birth canal may help prevent the need for a cesarean section and get the baby delivered sooner to avoid certain health problems, but it can also pose risks of its own. There are risks to the mother:
- Tears and damage to the tissue in the lower genital tract
- Pain after labor and delivery
- Blood loss and subsequent anemia
- Muscle and ligament weakness around the pelvic organs
- Urinary or fecal incontinence, which may be temporary or permanent
There are also very serious risks to the baby when vacuum extraction is used. As compared to delivery assisted with forceps, the use of vacuum extraction is more likely to harm the baby than the mother. It can be used safely, but if used inappropriately or with too much force, vacuum extraction can cause:
- Bleeding and wounds on the scalp.
- Stretching of the nerves along the neck, which can cause Erb’s palsy or a brachial plexus injury.
- Bleeding under the skin or in the brain.
- Bleeding in the eyes.
- A skull fracture.
- Neonatal jaundice.
- Brain damage, which may lead to permanent disability.
Examples of Vacuum Extraction Birth Injuries
In a case from 2014, a family was awarded $55 million by a jury after their baby suffered irreversible damage during delivery as the result of decisions made by the delivering doctor. The baby was showing signs of fetal distress, the parents claimed, but the doctor did not notice them until the baby had already been deprived of oxygen. The mother then struggled to deliver the baby, who was large, and the doctor used vacuum extraction instead of a cesarean section to assist the delivery. This, the parents claimed, caused further oxygen deprivation. The baby developed cerebral palsy as a result of brain damage caused by lack of oxygen.
In another case a 12-year-old boy was awarded $4 million for the permanent brain damage he suffered after his doctor used a vacuum extractor during his delivery. The mother and her attorneys found several faults with the doctor’s decisions, including a failure to order a cesarean section because of her small pelvis. The doctor used vacuum extraction instead, without the mother’s permission, and when the fetus’s location was not clear. As a result of that, the device was not placed on the baby correctly. He ended up with brain damage and needs support for the rest of his life.
If your child suffered brain damage or some other type of birth injury as a result of the use of vacuum extraction during your delivery, your doctor may be guilty of malpractice. A birth injury lawyer can help you determine if you have a case and if your doctor is to blame. Your child may need care and support into adulthood, which can be expensive. You may be entitled to compensation either through a settlement or as a jury award in a trial. Either way, if your doctor or other medical professional made a mistake that your child is now paying for, you and he are owed justice and the assistance you need.