What it is
An assisted birth means the provider helps the baby out with a tool during pushing. Vacuum extraction uses a soft cup on the baby's head. Forceps are two curved blades that cradle the head. Both are used when the baby is close but pushing has gone long, or the baby's heart rate says it is time.
What's typical
About 3 in 100 U.S. births are assisted, most by vacuum. It happens fast, within a few contractions, with you still pushing. Babies often have a swollen bump or a bruise on the head that fades in days. Forceps can leave marks on the cheeks that fade in a week. Mothers have a higher chance of a deeper tear, especially with forceps.
What's known
ACOG describes assisted birth as a safe alternative to a cesarean late in pushing, with faster recovery. Jaundice is a bit more common after vacuum because of the bruise. Pelvic floor physical therapy after an assisted birth is standard in several countries.
What helps
- Ice packs and a peri bottle for the first week, and sit on a pillow.
- Ask for a pelvic floor physical therapy referral before you leave the hospital.
- A debrief helps here. Many mothers had no time to understand what happened.
When to call someone
- Nowthe baby is hard to wake, vomiting, or has a bulging soft spot. Also your own heavy bleeding.
- Todaythe baby looks yellow or is not feeding, you cannot control gas or stool, or your stitches open.
- At your next visitask about the degree of tear and what this means for a future birth.
Who helps
Tools: Postpartum Prep Checklist
Related
- Pushing and positions for birthGetting Ready for Birth
- Healing a tear or stitchesPostpartum: Your Body
- Your pelvic floor after birthPostpartum: Your Body
- Newborn jaundiceBaby Basics
- Jaw tension, torticollis, and bodywork for feedingFeeding Your Baby
- When the baby is injured at birthLoss and Complications
What mothers here say
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Sources
- American College of Obstetricians and Gynecologists — Assisted vaginal birth FAQ
- American College of Obstetricians and Gynecologists — Operative vaginal birth practice bulletin
- Royal College of Obstetricians and Gynaecologists — Assisted vaginal birth patient information leaflet
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