Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 8/23/2025

Vacuum-Assisted Vaginal Delivery Protocols

Safety Considerations

  • Continuous electronic fetal heart rate monitoring is recommended during operative vaginal delivery, and the lateral decubitus position for the mother can help attenuate hemodynamic impact of uterine contractions, as recommended by the European Society of Cardiology 1

Contraindications

  • Suspected cephalopelvic disproportion is a contraindication for vacuum-assisted vaginal delivery, according to the American College of Obstetricians and Gynecologists 2