IMPORTANT NOTICE: At Fortis Healthcare, we are fully supportive of the National priorities set out by the Hon’ble Prime Minister of India. Further to the directives of the Government provided in their press release dated 8th Nov 2016, payments at Government hospitals can be made through 500 and 1000 Rupee denomination notes. In view of the hardship being caused to the large number of patients at private hospitals, we have made an urgent representation to the Government that this exemption should apply equally, for payments, at private hospitals. We are following up with the authorities and hope the Government will step in quickly to resolve this anomaly. Meanwhile, at Fortis hospitals across the country, we continue to accept payments through credit card, debit card and electronic banking transfers. As 500 and 1000 Rupee denomination notes are no longer legal tender we are only accepting 100 Rs and lower currency notes. As per Government regulation, a PAN card and legitimate ID proof is however required for payments in cash exceeding Rs 50,000. Meanwhile we continue to ensure that emergency cases get immediate medical attention without delay whatsoever and have put in more administrative staff and help desks to assist patients.

Vacuum extraction

A vacuum extraction is a procedure sometimes done during the course of vaginal childbirth.

During vacuum extraction, a health care provider applies the vacuum — a soft or rigid cup with a handle and a vacuum pump — to the baby's head to help guide the baby out of the birth canal. This is typically done during a contraction while the mother pushes.

Your health care provider might recommend vacuum extraction during the second stage of labor — when you're pushing — if labor isn't progressing or if the baby's health depends on an immediate delivery.

Vacuum extraction poses a risk of injury for both mother and baby. If vacuum extraction fails, a cesarean delivery (C-section) might be needed.


Why it's done Risks How you prepare What you can expect

A vacuum extraction might be considered if your labor meets certain criteria — your cervix is fully dilated, your membranes have ruptured and your baby has descended into the birth canal headfirst, but you're not able to push the baby out. A vacuum extraction is only appropriate in a birthing center or hospital where a C-section can be done, if needed.

Your health care provider might recommend vacuum extraction if:

  • You're pushing, but labor isn't progressing. If you've never given birth before, labor is considered stalled if you've pushed for a period of two to three hours but haven't made any progress. If you've given birth before, labor might be considered stalled if you've pushed for a period of one to two hours without any progress.
  • Your baby's heartbeat suggests a problem. If your health care provider is concerned about changes in your baby's heartbeat and an immediate delivery is necessary, he or she might recommend vacuum extraction.
  • You have a health concern. If you have certain medical conditions — such as narrowing of the heart's aortic valve (aortic valve stenosis) — your health care provider might limit the amount of time you push.

Keep in mind that whenever vacuum extraction is recommended, a C-section is typically also an option.

Your health care provider might caution against vacuum extraction if:

  • You're less than 34 weeks pregnant
  • Your baby has previously had blood taken from his or her scalp (fetal scalp sampling)
  • Your baby has a condition that affects the strength of his or her bones, such as osteogenesis imperfecta, or a bleeding disorder, such as hemophilia
  • Your baby's head hasn't yet moved past the midpoint of the birth canal
  • The position of your baby's head isn't known
  • Your baby's shoulders, arms, buttocks or feet are leading the way through the birth canal
  • Your baby might not be able to fit through your pelvis due to his or her size or the size of your pelvis

© 1998-2015 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Terms of use