When is a vaccum assisted vaginal delivery done?

"Vacuum-assisted delivery is a type of operative delivery. We use a vacuum in the second stage of labor whenever there is a prolonged second stage whenever there's fetal distress on the second stage or to cut down the second stage of labor in case the mother has a heart disease or severe anemia or the mother has a scar on the uterus. So these are very common indications where we use the vacuum. It is pretty safe with the advanced silicon cups vacuum is pretty safe for both the mother and the fetus if done under proper precautions. So the maternal complications could be perineal tears if episiotomies are not given properly there could be urinary retention, prolonged pain at the perineum and there could be bleeding. For the baby, the baby has a much larger exaggerated caput which is just a fluid accumulation under the scalp but which resolves spontaneously. There could be little more serious issues like capid oxum where there is a hematoma between the scalp and skull. So in these cases because of the hematoma, the baby can have long jaundice and also pain and there could be other infrequent but still very serious complications like you know hemorrhage inside the brain. That's called intracranial hemorrhage or even retinal hemorrhage"