Vacuum Extraction Complications Warning Signs

Fact-Checked and Medically Reviewed by:
Katie Lavender, RN Registered Nurse
Quick Answer

Vacuum extraction is used during vaginal delivery when babies have difficulty coming out naturally. During the procedure, delivery teams use a vacuum extractor to apply traction and gently suction the baby's head to help pull them out. In some cases, vacuum extraction can cause complications. Learn about vacuum extraction complications warning signs, and what to do if you or your baby were harmed.

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About Vacuum Extraction Delivery

Illustration of a baby being delivered with a vacuum extractor using significant pressure which may lead to brain damage.

Vacuum extraction (ventouse) is used during childbirth for difficult or prolonged deliveries. During the process, a suction cup is placed on the baby’s head to help them move through the birth canal.

The procedure is usually performed in the second stage of labor to lower risks for both the mother and child. Some delivery teams choose this option to avoid a cesarean section (C-section), which requires surgery.

Delivery teams may perform vacuum extraction for these reasons:

  • Concerning heart rate in the baby
  • Health conditions or exhaustion preventing the mother from pushing
  • The second stage of labor stalls, and the baby shows signs of distress

Vacuum extraction is generally a safe and effective option. However, if the tool is used improperly or things go wrong, vacuum extraction complications can cause serious health problems.

If you or your child were harmed because of vacuum extraction, you might qualify for financial assistance through a birth injury lawsuit.

Get a free case review now to find out if the Birth Injury Justice Center can help you.

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A free case review is the first step in pursuing compensation for you and your family.

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Vacuum Extraction Complications Warning Signs in Newborns

Vacuum extraction complications warning signs can show up in different ways in a baby. Spotting these signs early is important for addressing any potential health issues.

Some warning signs of vacuum extraction complications are listed below.


If they are not properly addressed, vacuum extraction complications warning signs can lead to newborn jaundice. This condition causes a yellow tint to the baby’s skin and the white part of the eyes.

Jaundice is a sign of excess bilirubin, a product released during the breakdown of red blood cells. The risk of severe bilirubin levels is that, if left untreated, it can cause brain damage.

Jaundice is a sign of excess bilirubin, a liver product from hemoglobin (protein in red blood cells that carries oxygen) that is excreted in bile.

Newborn Hearing Issues

If a baby develops newborn jaundice as a result of vacuum extraction, they may experience hearing issues. This is because the auditory nervous system is highly sensitive to toxic bilirubin levels.

Scalp Bleeding or Bruising

When delivery teams apply too much suction, they can cause a scalp injury or lacerations.

Your baby may develop cephalohematoma (a buildup of blood under the scalp) if there were complications during a vacuum extraction delivery. Cephalohematoma is usually harmless.

Scalp Swelling

Too much suction from the soft cup can make the baby’s scalp swell, causing a condition called caput succedaneum. Swelling usually resolves on its own, but it can lead to temporary hair loss.

Shoulder Dystocia

Shoulder dystocia occurs when a baby’s shoulders are stuck in the vaginal canal. Vacuum extraction can lead to shoulder dystocia if a baby’s head, arm, shoulder, or neck is pulled by the machine while still in the birth canal.

Shoulder dystocia occurs more often in vacuum extraction than in an unassisted vaginal delivery or when a baby is delivered using forceps. This may be because vacuum extraction is often used for larger babies (fetal macrosomia) already at increased risk of shoulder dystocia.

Skull Fractures

Vacuum extraction can injure the delicate skulls of babies. Most newborn skull fractures are small, cause no long-term damage, and heal on their own.

Unfortunately, more severe fractures can cause brain bleeding (intracranial hemorrhage) and may require surgery.

Skull fractures can result from excessive force during birth, including vacuum extraction or forceps use, and are considered one of the vacuum extraction complications warning signs.

You probably have questions if you think your baby was harmed after your obstetrician or delivery team failed to spot or manage the warning signs of vacuum extraction complications.

Our registered nurses can help talk you through what might have occurred. Connect with one of our labor and delivery nurses right now in confidence.

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Maternal Vacuum Extraction Complications Warning Signs

Vacuum extraction can also cause various complications in the mother.

Some common maternal vacuum extraction complications warning signs are listed below.

Broken Tailbone

A broken tailbone is a warning sign of vacuum extraction complications.

Symptoms of a broken tailbone include:

  • Constant dull pain in the low back
  • Irregular bowel movements
  • Pain that intensifies during a bowel movement or sexual intercourse
  • Swelling around the tailbone

Excessive Postpartum Bleeding

The suction cup pressure and maternal contractions can cause vaginal and perineal tears (the area between the vagina and the anus), leading to excessive bleeding or postpartum hemorrhage (PPH).

Did you know

Excessive postpartum bleeding (or PPH) is significantly higher in vacuum deliveries than in unassisted vaginal births, according to a 2021 Cureus, Journal of Medical Science report.

PPH is very dangerous, leading to severe blood loss, low blood pressure, shock, and even death.

Pelvic Pain

The vacuum cup and pump can cause tears in the perineum (area between the vagina and the anus), leading to pelvic pain. Pelvic pain can make sitting and moving difficult.

Pelvic pain is also common after childbirth, but especially in women whose deliveries or labors were difficult.

Trouble Urinating

The suction force during vacuum-assisted deliveries can cause significant stretching of the vaginal area. Consequently, mothers might experience problems with bladder emptying and short- or long-term urinary incontinence, where there is a lack of control.

If you’ve faced urinary incontinence following a complicated delivery, vacuum extraction could be the cause. Talk with your doctor if you have concerns.

Vaginal Tearing

Vaginal tearing, a warning sign of vacuum extraction complications, refers to the tearing of vaginal tissue during childbirth. It can result from excessive force during delivery, potentially causing pain and additional complications.

There are four grades of vaginal tears:

  1. First-degree tears are the least severe. They only involve the first layer of skin around the vaginal and perineal areas and may not require stitches.
  2. Second-degree tears are the most common. They extend deeper into the underlying muscles of the vagina and perineum and usually require stitches.
  3. Third-degree tears extend from the vagina to the anus. They affect the skin and muscles of the perineum and the anal sphincter muscles that surround the anus. Women need stitches if they have third-degree tears.
  4. Fourth-degree tears are the least common. They extend from the vagina to the perineal area and rectum. Women with these injuries may need surgical treatment and have a prolonged and difficult healing process. These tears can cause a lot of pain and tenderness while healing.

Medical Negligence and Vacuum Extraction Complications

Complications from vacuum-assisted vaginal delivery are sometimes unavoidable. However, they can also result from medical negligence.

Medical negligence occurs when health care professionals do not uphold the standard of care. This can happen by either failing to do something medically necessary or doing something wrong, resulting in harm or death.

Obstetricians may be considered negligent if they:

  • Did not perform a C-section when one was needed
  • Did not prepare for vacuum extraction properly, such as neglecting to dilate the cervix prior to vacuum use
  • Failed to adequately inform about the risks and potential for vacuum extraction complications before using the device
  • Failed to identify and prevent complications from vacuum extraction, potentially leading to brain damage, lifelong disabilities, or even death
  • Failed to monitor the mother and baby’s health
  • Improperly used assisted delivery devices, like opting for unnecessary vacuum extraction, forceps delivery, or operative vaginal delivery
  • Neglected the health of the mother and baby while performing a vacuum pump extraction delivery

If you suspect that your delivery team failed to spot and manage vacuum extraction complications warning signs, you may have legal rights.

Find out now with a free case review.

Get a Free Case Review

A free case review is the first step in pursuing compensation for you and your family.

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Causes of Vacuum Extraction Delivery Complications

The main cause of vacuum extraction complications is an improperly performed assisted delivery.

Medical professionals should only perform vacuum extraction if needed — babies and mothers are more likely to be injured with a vacuum delivery than by natural birth.

Certain factors can heighten the risk of injuries from vacuum extraction, including:

  • Baby’s head hasn’t moved past the middle of the vaginal canal
  • Bone or bleeding disorder in the baby
  • Doctor can’t determine the position of the baby’s head
  • Mother’s pelvis is too small for the size of the baby
  • Preterm baby

Delivery teams should not use a vacuum extractor if any of these risk factors apply.

Long-Term Effects of Birth Injuries Caused by Vacuum Extraction

Babies can suffer lifelong harm when delivery teams fail to detect and manage the warning signs of vacuum extraction complications.

Severe vacuum extraction birth injuries can lead to long-term conditions, such as:

  • Cerebral palsy: A group of disorders affecting a person’s ability to maintain posture and move intentionally. It may occur with or without intellectual disability.
  • Erb’s palsy: A type of arm paralysis caused by injury to the upper group of the main nerves supplying the arm and shoulder (the upper trunk of the brachial plexus). It is a type of brachial plexus injury.
  • Kernicterus: A type of brain damage occurring when medical professionals fail to treat newborn jaundice in a timely manner, potentially leading to athetoid cerebral palsy (CP).

If you think your baby was harmed, making a plan without delay is essential.

Next Steps for Vacuum Extraction Complications

Dealing with vacuum extraction complications can cause an unexpected disruption to your family’s life. In severe cases, they can lead to life-altering conditions for your baby, such as brain damage.

Consider taking the following steps if you and your baby have experienced vacuum extraction complications.

1. Seek Treatment Right Away

Promptly seek medical attention if your baby is injured. A medical team will conduct tests and examinations to identify the cause of your baby’s injuries, ensuring a proper diagnosis.

For children with long-term birth injuries such as CP, their growing needs may include physical therapy, speech therapy, and mobility aids like wheelchairs. Your health care provider will guide you to the relevant specialists.

2. Consult a Birth Injury Lawyer

Following treatment and diagnosis, consider consulting with a lawyer. A skilled birth injury attorney will review your case to determine if you can file a birth injury lawsuit to hold negligent medical providers accountable.

3. File a Birth Injury Lawsuit

If you are eligible to file a birth injury lawsuit, your lawyer can gather evidence, negotiate a settlement, and fight for your rights at trial if needed.

Successful birth injury lawsuits provide compensation for various losses, such as medical expenses, lost income, pain and suffering, and diminished quality of life.

Get Legal Help for Vacuum Extraction Complications

Detecting and responding to the warning signs of vacuum extraction complications is an essential part of your delivery team’s duty of care. If a health care professional overlooked these signs during your vacuum extraction, you may have a birth injury medical malpractice case.

The Birth Injury Justice Center can connect you with an experienced birth injury law firm if you are eligible.

Our legal partners have helped families secure over $917 million for preventable birth injuries. Find out if they can help your family as well. Get a free birth injury case review right now.

Vacuum Extraction Complications Warning Signs FAQs

What are the potential complications of vacuum extraction?

Vacuum extraction complications include:

  • Hearing issues
  • Jaundice
  • Scalp bleeding
  • Scalp swelling
  • Shoulder dystocia
  • Skull fractures

What is the most serious complication of vacuum extraction?

Some of the most severe vacuum extraction complications include:

  • Kernicterus (severe brain damage often caused by untreated jaundice)
  • Skull fractures
  • Subgaleal hemorrhage (bleeding between the skull and scalp)

These conditions can cause brain damage, which can lead to intellectual disability, cerebral palsy, and even death.

Can you sue for complications of vacuum extraction deliveries?

Yes, if your medical provider failed to meet the standard of care and you or your child suffered severe harm, you may be able to file a medical negligence lawsuit.

Birth injury lawsuits can result in financial compensation that can be used to provide the best care possible for your child.

Get a free case review right now to learn more about your legal options.

Birth Injury Support Team
Reviewed by:Katie Lavender, RN

Registered Nurse

  • Fact-Checked
  • Editor

Katie Lavender has over 8 years of experience as a Registered Nurse in postpartum mother/baby care. With hands-on experience in Labor and Delivery and a role as a Community Educator for newborn care, Katie is a staunch advocate for patient rights and education. As a Medical Reviewer, she is committed to ensuring accurate and trustworthy patient information.

The Birth Injury Justice Center was founded in 2003 by a team of legal professionals to educate and empower victims and families affected by birth injuries. Our team is devoted to providing you with the best resources and legal information for all types of birth injuries.

View Sources
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  2. Cleveland Clinic. (2021, December 28). Caput succedaneum. Retrieved June 30, 2024, from
  3. Cleveland Clinic. (2022, January 3). Caput succedaneum. Retrieved June 30, 2024, from
  4. Cleveland Clinic. Vacuum extraction delivery. (2022, January 28). Retrieved June 30, 2024, from
  5. Mayo Clinic. Infant jaundice. (2022, January 6). Retrieved June 30, 2024, from
  6. National Library of Medicine: PubMed. (2021, May 11). Cureus. Maternal and neonatal complications resulting from vacuum-assisted and normal vaginal deliveries. Retrieved June 30, 2024, from
  7. National Library of Medicine: PubMed. (2016, August 4). European Journal of Obstetrics & Gynecology and Reproductive Biology. Does vacuum delivery carry a higher risk of shoulder dystocia? Review and meta-analysis of the literature. Retrieved June 30, 2024, from