Assisted vaginal births
You may need help to deliver the baby. Help is needed if the birth is taking so long that the mother's or baby's health is at risk. The birth is then speeded up with the use of a vacuum pump or forceps. These procedures are carried out under the responsibility of a gynaecologist. In case of a vacuum delivery (vacuum extraction) the doctor or clinical midwife places a suction cup on the baby's head. In case of a forceps delivery (forcipal extraction) the gynaecologist places two 'spoons" around the head. After the vacuum cup is attached or the spoons have been placed around the head, the doctor pulls during contractions (while you continue to push) to help the baby be born. Sometimes the nurse or midwife pushes on your abdomen to increase the strength of the contraction.
In the case of an assisted vaginal delivery the following applies:
- The bed is made up crosswise (short bed, legs in leg supports).
- A catheter will be inserted (inserting a tube into the bladder to drain urine).
- If necessary, a surgical incision of the perineum is made under local anaesthetic. If everything progresses without any complications, you and your baby may return home the following day. It is sometimes necessary that the paediatrician examines the baby or that the baby is taken to the incubator room.