Practicalities of vacuum extraction versus forceps for forced delivery

Vacuum extraction, a procedure used for forced delivery, is effective in assisting vaginal delivery but can cause maternal and fetal complications. Therefore, before the procedure is performed, it should be confirmed that indications and conditions are appropriate for vacuum extraction in accordance with the guidelines for obstetrical practice in Japan. If the procedure cannot be carried out smoothly, alternative delivery procedures should be considered. In addition, if forced delivery by vacuum extraction cannot be completed, forceps delivery or cesarean section must be performed as soon as possible. In particular, when uterine fundal pressure is used in combination with vacuum extraction, findings during the delivery must be documented in detail in the medical record. Finally, neonates born by vacuum extraction should be carefully observed for a certain period of time.