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    Ventouse CC

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    Nithiya Nadesan
    Vacuum extraction (ventouse) is a device used to assist delivery by creating suction between a soft silicone cup and the fetal scalp. It consists of a cup attached by tubing to a bottle that creates negative pressure up to -0.8 kg/cm2. It is indicated for alternative to forceps delivery, delayed descent, or twins. Advantages include use in malpositions and incomplete dilation with less traction needed. Risks include maternal and fetal lacerations and hemorrhage. The procedure involves cup placement on the fetal head and intermittent traction during contractions until delivery is completed.

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    Ventouse CC

    Uploaded by

    Nithiya Nadesan
    34 views14 pages
    Vacuum extraction (ventouse) is a device used to assist delivery by creating suction between a soft silicone cup and the fetal scalp. It consists of a cup attached by tubing to a bottle that creates negative pressure up to -0.8 kg/cm2. It is indicated for alternative to forceps delivery, delayed descent, or twins. Advantages include use in malpositions and incomplete dilation with less traction needed. Risks include maternal and fetal lacerations and hemorrhage. The procedure involves cup placement on the fetal head and intermittent traction during contractions until delivery is completed.

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    ventouse CC

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    Vacuum extraction (ventouse) is a device used to assist delivery by creating suction between a soft silicone cup and the fetal scalp. It consists of a cup attached by tubing to a bottle that creates negative pressure up to -0.8 kg/cm2. It is indicated for alternative to forceps delivery, delayed descent, or twins. Advantages include use in malpositions and incomplete dilation with less traction needed. Risks include maternal and fetal lacerations and hemorrhage. The procedure involves cup placement on the fetal head and intermittent traction during contractions until delivery is completed.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    34 views14 pages

    Ventouse CC

    Uploaded by

    Nithiya Nadesan
    Vacuum extraction (ventouse) is a device used to assist delivery by creating suction between a soft silicone cup and the fetal scalp. It consists of a cup attached by tubing to a bottle that creates negative pressure up to -0.8 kg/cm2. It is indicated for alternative to forceps delivery, delayed descent, or twins. Advantages include use in malpositions and incomplete dilation with less traction needed. Risks include maternal and fetal lacerations and hemorrhage. The procedure involves cup placement on the fetal head and intermittent traction during contractions until delivery is completed.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 14

    www.freelivedoctor.

    com
    Vacuum Extraction (Ventouse)
    Vacuum Extraction (Ventouse)

    • Ventouse is an instrumental device designed to


    assist delivery by creating vacuum between it
    and the fetal scalp.

    • Malstrom 1956

    • Soft cup, silc cup, silicon rubber and disposable


    plastic cup are used for vacuum extraction.
    Description
    Vacuum extractor is composed of:

    • A specially designed cup with a diameter of 3, 4, 5 or 6 cm.

    • A rubber tube attaching the cup to a glass bottle with a screw in


    between to release the negative pressure.

    • A manometer fitted in the mouth of the glass bottle to declare the


    negative pressure.

    • Another rubber tube connecting the bottle to a suction piece which


    may be manual or electronic creating a negative pressure that should
    not exceed - 0.8 kg per cm2.
    Indications
    • As an alternative to forceps delivery

    • As an alternative to rotational forceps as in occipito


    transverse or posterior position.

    • Delay in descend of the head in case of the second


    baby of twins

    • Delay in late first stage of labour [ inertia]


    Advantage:

    • It can be used in non rotated or mal rotated ROP.


    • It can be applied even through incompletely
    dilated cervix.
    • It is not a space occupying device like the forceps.
    • Lesser traction is needed.
    • It can be used safely even the head remains at a
    high level.
    • Fetal complications are less.
    • Requires less skills.
    Contraindications
    * Moderate or severe cephalopelvic
    disproportion.
    * Other presentations than vertex.
    * Premature infants.
    * Intact membranes.
    Procedure
    * Lithotomy position.
    *Antiseptic measures for the vagina, vulva and
    perineum.
    * Pudental block with 1% lignocaine
    * Vaginal examination to check pelvic capacity,
    cervical dilatation, presentation, position,
    station and degree of flexion of the head and
    that the membranes are ruptured.
    Procedure
    • Application of the cup:

    • The largest cup that can be introduced sideways into


    the vagina by pressing it backwards against the
    perineum.
    • It is then applied over the mid sagittal line.
    • This position will promote flexion of the head and
    brings the smallest diameters of the foetal skull
    • Be sure that there is no cervical or vaginal tissues
    around the cup
    • Creating the negative pressure:

    • holding the cup in place, the negative pressure is


    gradually increased by 0.2 kg/cm2 every 1 minute until
    - 0.8 kg/cm2 is attained.
    • This creates an artificial caput within the cup.

    • Traction:
    on the handle is made perpendicular to the cup
    and intermittently during uterine contractions, the
    direction of pull is changing as the head descends
    through the birth canal
    • Release of the cup:

    when the head is delivered, the vacuum is


    reduced as slowly as possible.
    Complications
    • Maternal:

    > Vaginal and cervical lacerations.


     cervical incompetence
     future prolapse if used with incompletely
    dilated cervix.
    Complications
    • Foetal:

    > Cephalohaematoma.
    > Scalp lacerations.
     Rarely, intracranial haemorrhage.
     Retinal haemorrhage
    www.freelivedoctor.com

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