Abstract
Many complications can occur to a new-born during a vacuum-assisted delivery. Vacuum-assisted deliveries are considered to be safe and there seems to be insufficient evidence of long-term neurodevelopmental effects. There has always been a debate among clinicians about the risk of major neonatal injury using vacuum extraction. The major complications presented in this article are: intracranial haemorrhage, subgaleal haemorrhage, seizures, cerebral infarction, hypoxic-ischemic encephalopathy and permanent brachial plexus injury. We included several retrospective studies discussing these major complications. The incidence of vacuum related birth injuries was proven to be higher than the incidence of spontaneous birth injuries; however, the overall incidence was low.
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