An exclusive video tutorial produced by the Sarawak General Hospital O&G Department focusing on the topic of vacuum delivery.
The Step by Step Guide to Vacuum Delivery :
- The patient is placed in the lithotomy position.
- The bladder is catheterized.
- A cup of the appropriate size is chosen.
- Perineum infiltration with local anesthetic agent.
- The cup is applied to the fetal head, placing it along the sagital suture and as far back as possible (touching the posterior fontanelle).
- The vacuum cup should be placed at the flexion point, which is the point on the fetal head 2cm in front of the posterior fontanelle.
- Before the vacuum is created, vaginal examination must be done to ascertain that no soft tissue are caught between the cup and the head.
- Negative pressure is now applied.
- Once the cup has been attached to the head by the first phase of low vacuum, its position must be checked.
- After vacuum of -0.8kg/sq cm has been achieved for one minute, check again that no maternal tissue is caught.
- Traction is applied only during contractions, in conjunction with maternal expulsion.
- Traction is applied smoothly throughout the contraction, refrain from applying jerky traction.
- The initial direction is downward and outward, gradually changing to upward and outward when crowning occurs.
- Vacuum is released once head is delivered.
Advisor: Dr. Harris Njoo Suharjono
Presenter: Dr. Sukanda Jaili
Director/Editor: Dr. Dalvinder Singh
Set Manager: Dr Alifah Zizi
Logistics: Sister Mariam