Fetal injury associated with routine vacuum use during cesarean delivery

Am J Obstet Gynecol. 2008 Apr;198(4):e4. doi: 10.1016/j.ajog.2007.12.009. Epub 2008 Mar 4.


The use of a vacuum device as a routine procedure at the time of repeat cesarean delivery was associated with major fetal intracranial hemorrhage. In the absence of clear evidence of benefit, the routine use of vacuum extraction at the time of cesarean delivery is not justified, given its potential for serious fetal injury.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Birth Injuries / etiology*
  • Cesarean Section*
  • Female
  • Humans
  • Intracranial Hemorrhages / etiology*
  • Pregnancy
  • Vacuum Extraction, Obstetrical / adverse effects*