Home

Ventouse Vacuum delivery presentation ppt

1. • Vacuum Delivery/ ventouse/vacuum extractor Sunil Kumar Daha. 2. Instrumental device designed to assist delivery by applying traction to a suction cup attached to the fetal scalp • Any condition threatened to mother or fetus that is likely to be relieved by delivery • Fetus of atleast 34 weeks Introduction. 3. Maternal indication 1 Vacuum Extraction (Ventouse)www.freelivedoctor.com Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. If you continue browsing the site, you agree to the use of cookies on this website vacuum-assisted vaginal delivery vacuum extraction (VE) (Ventouse) cannot be used when the baby is in the breech PRESENTATION or for A swelling at the top of the head after a ventouse delivery , in most casesnothing but oedema of the scalp skin and shortly disappear VACUUM ASSISTED VAGINAL. DELIVERY (VENTOUSE) VENTOUSE is an instrumental device designed to assist delivery by creating a vacuum between it and the fetal scalp. It is traction of the fetal head by a created negative pressure through a cup applied to the head. Instruments: MALSTORM DEVICE (1956) was popularized in its use, but now there are various modifications available

Ventose and Forceps delivery * 3-Complications of ventouse delivery F1-Ventouse causes 3rd & 4th degree perineal tears more frequent than forceps F2-Long term effects on neurological & intellectual development of children delivered by ventouse are evident by 4 years of age T3-Cephalohematoma occur in up to 25% of babies T4-Birth asphyxia is related to the force of traction & prolonged. Ventouse delivery - View presentation slides online. Read free for 30 day

Vacuum Delivery OSCE

Vacuum Delivery - SlideShar

  1. World's Best PowerPoint Templates - CrystalGraphics offers more PowerPoint templates than anyone else in the world, with over 4 million to choose from. Winner of the Standing Ovation Award for Best PowerPoint Templates from Presentations Magazine. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect
  2. Jun 14, 2021 - INSTRUMENTAL DELIVERIES - PPT(PowerPoint Presentation), Medical Notes | EduRev is made by best teachers of . This document is highly rated by students and has been viewed 185 times. INSTRUMENTAL DELIVERIES SALWA NEYAZI CONSULTANT OBSTETRICIAN GYNECOLOGIST PEDIATRIC & ADOLESCENT GYNECOLOGIST VACUUM /VENTOUSE Page 3.
  3. Forcep Delivery PowerPoint PPT Presentations. All Time. Show: Recommended. Sort by: Partial breech extraction. A, After spontaneous delivery to the umbilicus, traction is applied to the infant's pelvis. - instrumental deliveries salwa neyazi consultant obstetrician gynecologist pediatric & adolescent gynecologist vacuum /ventouse.
  4. RPA Women and Babies Guideline for Assisted Delivery. Extra cranial Haemorrhage The Cochrane systematic review of trials comparing forceps and vacuum assisted delivery show lower rates of maternal morbidity with vacuum extraction but higher rates of cephalohaematoma, retinal haemorrhages and jaundice in the newborn2,3,4. Nearly all infant
  5. Vacuum-assisted Vaginal Delivery Max Brinsmead MB BS PhD Calibri Soaring 1_Soaring Vacuum-assisted Vaginal Delivery History Indications Requirements Controversial PowerPoint Presentation Who should go to theatre for a trial? Risks Meta Analysis of RCT Ventouse Vs Forceps Meta Analysis of RCT Ventouse Vs Forceps Meta Analysis of RCT Ventouse.
  6. assist delivery using vacuum (ventouse) extraction (or forceps) To practise the use of vacuum (ventouse) and forceps extraction To achieve competence in those skills To consider indication for forceps delivery . Vacuum Extraction PowerPoint Presentation Author
  7. VACUUM-ASSISTED DELIVERY Practical techniques to improve patient outcomes by Aldo Vacca, MD O b/Gyns in general prefer vacuum-assisted delivery (VAD) over forceps-assisted delivery, although increased usage has also been associated with more frequent reports of adverse out-comes.1,2 Attention to the details of technique can help prevent prob

Vacuum Extraction (The Ventouse) Menu. About us; DMCA / Copyright Policy; Privacy Policy; Terms of Servic Algorithm 30.1 Prerequisites for instrumental vaginal delivery Algorithm 30.2 Rules for safety when conducting ventouse delivery Algorithm 30.3 Rules for safety when conducting forceps delivery Objectives On successfully completing this topic, you will be able to: decide when an instrumental delivery is appropriate decide which instrument is most appropriate in a specific circumstance. An operative vaginal delivery (OVD) is defined as the use of an instrument to aid delivery of the fetus In the UK, operative vaginal delivery rates have remained stable at 12-13%; yielding safe and satisfying outcomes for the majority of the women and babies [].. In this article, we shall look at the indications, classification, and pre-requisites for an operative vaginal delivery VACUUM DELIVERY • Is an operative vaginal procedure to facilitate vaginal delivery with an application of a cup over the fetal head for brief duration and minimal traction forces. • In the United States, the device is referred to as the vacuum extractor, • In Europe it is commonly referred to as a ventouse (from French, literally, soft cup) Vacuum Delivery • Vacuum delivery is effected using the ventouse (vacuum extractor). • The main action of the ventouse is traction with an additional effect of rotation. • Its main components are the suction cup, vacuum pump and traction devices

PPT - Intrapartum Emergencies PowerPoint Presentation

Vacuum extraction (ventouse) - SlideShar

  1. g in first for options counseling and they will be making a decision during this visit about whether they elect to undergo a medication abortion or a suction procedure. This Policy and Procedure statement applies to th
  2. ium cup (diameter 40-65 mm) and a braided pull cord for improved angular manipulation. 67 Vacuum was generated in the cup using an.
  3. obstetrical', 'vacuum extraction, instrumental delivery', 'obstetrical forceps', 'forceps delivery', 'forceps', 'ventouse', 'labour, obstetric', 'delivery, obstetric' and 'parturition'. 4. Preparation for operative vaginal delivery Vacuum extractors are contraindicated with a face presentation. It has been.

PowerPoint Presentatio

With the ventouse, the operator should allow ≤2 episodes of breaking the suction in any vacuum delivery, and the maximum time from application to delivery should ideally be <15 min. If there is no evidence of descent with the first pull, the patient should be reassessed to ascertain the reason for failure to progress T3 Cephalohematoma Occur In Up To 25% Of Babies. T4 Birth Asphyxia Is PPT. Presentation Summary : T3-Cephalohematoma occur in up to 25% of babies. T4-Birth asphyxia is related to the force of traction & prolonged procedure (time from application of . vacuum Ventouse or forceps delivery comes under the category of assisted or operative vaginal delivery. This is usually indicated in women who have prolonged second stage of labor, nonreassuring fetal. Vaginal/ vacuum Delivery of the fetal head through the vagina by the application of a vacuum cup or ventouse to the fetal head. Cesarean Extraction of the fetus, placenta, and membranes through an incision in the maternal abdominal and uterine walls. Instructions: Check one of the boxes. Sources: 1st Delivery record under - Method of delivery A vacuum extraction — also called vacuum-assisted delivery — is a procedure sometimes done during the course of vaginal childbirth. During a vacuum-assisted vaginal delivery, 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

A vacuum used during delivery isn't the same as a household vacuum, but it does involve applying a soft suction device to a baby's head. The vacuum has a handle that allows your doctor to. 3-Complications of ventouse delivery. F1-Ventouse causes 3rd & 4th degree perineal tears more frequent than forceps. F2-Long term effects on neurological & intellectual development of children delivered by ventouse are evident by 4 years of age. T3-Cephalohematoma occur in up to 25% of babies Contraindications GA < 34 weeks (contraindication for vacuum due to risk of fetal IVH) Known bone demineralization condition (e.g. osteogenesis imperfecta) or bleeding disorder, ie: VWD) Fetal head unengaged Position of fetal head unknown Vacuum-Assisted Vaginal Delivery Do not apply rocking motion or torque, only steady traction in the line of. FORCEPS DELIVERY. A tool designed to assist with the delivery of the baby's head. Provide . traction, rotation or both to the fetal head. when the unaided expulsive efforts of the mother cannot or are insufficient to accomplish vaginal delivery. It is also useful in . completing vaginal delivery of . aftercoming. head of a breech presenting. LABOR, AND DELIVERY MATERNAL HEALTH EDUCATION SESSION FOR HEALTH WORKERS Calcutta Kids. Abnormal presentation. COMPLICATIONS Pre-term labor and premature delivery : risk of immature lungs, respiratory distress, and digestive Vacuum (Ventouse) C-section. DISCUSSION Fetal Developmen

Fourth session: Skill lab Outline Demonstrate the indications, prerequisites, application and complications of forceps/ventouse Discuss the indications, technique and complications of cesarean section Forceps/ventouse Indications Maternal Distress Disease Rigid soft tissues Fetal Distress Progress Arrest in the second stage with full cervical dilatation Prerequisites Mother: Generally. Classification of forceps (and vacuum) delivery according to station and rotation(4) Outlet . เห็นส่วนนำของทารกที่ปากช่องคลอดได้โดยไม่ต้องแหวก labia (scalp is visible at introitus without separating the labia Vacuum extraction (ventouse): Proper application as near as possible to the occiput will promote flexion of the head. Traction will guide the head into the pelvis till it meets the pelvic floor where it will rotate. Manual rotation and extraction by forceps: Under general anaesthesia the following steps are done A vacuum extraction, also known as a vacuum-assisted delivery, is used to help move the baby through the birth canal during delivery when a mom's labor has stalled. While somewhat rare — only about 5 in every 200 babies are born with the help of a vacuum extraction — you should know that the procedure is safe for both mother and baby What's ventouse delivery? It's a type of assisted instrumental delivery by using a vacuum extractor applied on the baby scalp (head) to pull the baby out from the mother's uterus in order to hasten the second stage of delivery ( a stage in which the baby is being delivered from the mother's womb)..

In Britain all operative deliveries are now performed in a hospital. Caesarean sections must take place in hospital, but the National Birthday Trust's 1994 survey of home births reported that all ventouse and low forceps deliveries also took place in hospital (Chamberlain, 1997). However, not only obstetricians have to know about these deliveries—general practitioners and midwives need to. Operative Vaginal Delivery cesarean 1 VACUUM VENTOUSE 2; Operative Vaginal Delivery District 1 ACOG Medical Student; Informed Delivery Informed Delivery AGENDA Informed Delivery Presentation. Automatic Delivery Rewards Automatic Delivery Rewards Automatic Delivery

Operative vaginal delivery refers to a delivery in which the operator uses forceps, a vacuum, or other devices to extract the fetus from the vagina, with or without the assistance of maternal pushing. The decision to use an instrument to deliver the fetus balances the maternal, fetal, and neonatal impact of the procedure against the alternative. the delivery will occur, check the equipment and review the functions of personnel immediately prior to the delivery. Personnel should review the emergency plan for communication and transportation if either mother or infant needs an advanced level of care. What maternal, fetal, and neonatal conditions might indicate a higher ris Assisted delivery. An assisted delivery, sometimes called an 'instrumental delivery', is when your doctor will help in the birthing process by using instruments such as a ventouse (vacuum extractor) or forceps to help you deliver your baby. Both ventouse and forceps are safe and only used when necessary for you and your baby 7.1.2 Brow Presentation 184 7.1.3 Shoulder Presentation 185 7.1.4 Face Presentation 187 . 10.5 Vacuum Extraction / Ventouse delivery/ 250 Review Questions 252 CHAPTER ELEVEN : CONGENITAL ANOMALIES The ventouse or vacuum extractor 252 Figure 18. Abnormal uterine types 25

VE has a long history. The initial applications of vacuum techniques in deliveries began in the 18th century. While VE became widely popular in Europe, the technique was little used in the United States until after the early 1980s, following the introduction of a series of new instruments, including disposable soft-cup extractors, new rigid cup designs, and handheld vacuum pumps Vacuum-assisted delivery is a good alternative to forceps and even Caesarean section when labour is stalled. 3 Know your options prior to giving birth. Speak with your doctor about vacuum-assisted delivery (instead of forceps) and as a way to help reduce the trauma associated with operative vaginal delivery or other appropriate indications

Vaccum Delivery Final PPT Childbirth Surger

1 Introduction. The second stage of labor is regarded as the climax of the birth by the delivering woman, her partner, and the care provider. International health policy and programming have placed emphasis on the first stage of labor, including appropriate use of the partogram and identification of hypertension or sepsis, and have also focused on the third stage of labor with active. Using a vacuum extraction tool or forceps during delivery also increases the risk of caput succedaneum, primarily because the vacuum must draw the soft tissue up into the vacuum cup to be able to control the delivery. This is particularly a concern in babies with macrosomia, or those that are proportionally too large for the birth canal and. The effect of sequential use of vacuum and forceps for assisted vaginal delivery on neonatal and maternal outcomes. Am J Obstet Gynecol. 2001 Oct. 185(4):896-902. . Bhide A, Guven M, Prefumo F, Vankalayapati P, Thilaganathan B. Maternal and neonatal outcome after failed ventouse delivery: comparison of forceps versus cesarean section Prolonged pressure from the dilated cervix or vaginal walls on the baby's head causes swelling, puffiness, and bruising. These are hallmark symptoms of caput succedaneum. A long, difficult labor.

Vacuum and forceps delivery can be associated with significant complications, both maternal and fetal. Two maternal deaths have been described in association with tearing of the cervix at vacuum delivery and a further maternal death has been described following uterine rupture in association with forceps delivery A tear happens spontaneously as the baby stretches the vagina during birth. An episiotomy is a cut made by a healthcare professional into the perineum and vaginal wall to make more space for your baby to be born. It is possible for an episiotomy to extend and become a deeper tear. Episiotomies are only done with your consent Michelle recalls: It was a ventouse delivery - a ventouse is a plastic cup that is attached to the baby's head by suction - and she had a bit of a bruise on her head. Her birth trauma may have been contributed to by an attempt at ventouse delivery . Research has shown that women who plan to give birth at home are less likely to have a. Forceps delivery: A forceps delivery is a type of assisted vaginal delivery. It's sometimes needed in the course of vaginal childbirth A persistent occipitoposterior position results from a failure of internal rotation prior to delivery. This occurs in 5% of deliveries. The vertex is presenting, but the occiput lies in the posterior rather than the anterior part of the pelvis. Exclude presentation or prolapse of the cord. Vacuum extraction (ventouse)

A 3891-g female was born at 41 weeks' gestation to a primigravid mother. Labour was spontaneous and the presentation was occiput posterior. After rotation of the head, vacuum extraction was attempted 3 or 4 times. A tight nuchal cord was cut approximately 50 seconds prior to delivery. There was mild shoulder dystocia Ventouse. A ventouse is often used to assist in the delivery of a baby. This device is a type of vacuum with a suction cup that attaches to the baby's head. Anesthesia is not necessary during the procedure. The ventouse is not used when the baby is in a breech or transverse position. Forcep

A subgaleal hematoma (SGH), also known as a subgaleal hemorrhage, is a serious complication that occurs when blood accumulates outside of the baby's skull (extracranially) (1). The accumulation occurs in the space between the periosteum of the skull (the membrane that covers the skull) and the scalp aponeurosis (the fibrous tissue that covers. Childbirth with the help of obstetric forceps or ventouse. In Norway (2006), 1.5% of all children were delivered using obstetric forceps and around 7.5% with ventouse (suction cup)/vacuum assisted vaginal delivery. In the western world in general, the percentage is 5-15%

Video: Ventouse Delivery Childbirth Postpartum Perio

minimize or avoid complications associated with abnormal presentation such as breech, face, or shoulder If a forceps or vacuum delivery is contemplated, a larger incision may be necessary. Vacuum Extraction (Ventouse Delivery) and Childbirth Video Eval any DX test results 2) Fundal height and fetal heart rate fetal movement is assessed 3) Viability and gestitational age are determined 4)Beta-HCG is done prn 5) US can show fetus @ 4-5 weeks 6) In the 2nd trimester cardiac activity, fetal #/presentation and fetal anatomy are IDed 7) Amniotis fluid is calculated Instrumental Delivery - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online Presentation of results. The prevalence of a disease may be different in different clinical settings. For instance the pre-test probability for a positive test will be higher when a patient consults a specialist than when he consults a general practitioner. Since positive and negative predictive values are sensitive to the prevalence of the. Maternal Obstetric Injuries. Rupture of the uterus. Cervical tears. Vaginal tears. Haematoma of the vulva. Perineal tears. Trauma to the pelvic joints and nerves. About 1:4000, 95% of cases occur in multipara particularly grand multipara. Rupture of a uterine scar: e.g. previous C.S. especially upper segment, myomectomy, hysterotomy.

1 Introduction. Vaginal operative delivery occurs in 15% of all deliveries. Forceps and vacuum extractors are commonly used for vaginal operative delivery based on randomized trials demonstrating the feasibility, safety, and comparable efficacy of these methods. However, the use of those instruments can provoke serious complications such as fourth-degree tears, fetal facial injury, or fetal. Browse 354 sets of methods of delivery flashcards. Study sets Diagrams Classes Users. 22 terms. katherinenguyenn. Methods of Delivery. You are asked to give a 2-3 minute spee. A speech that is given word for word, b. A speech that is read word for word is. All of the following are disadvantages BACKGROUND AND PURPOSE: Subdural hemorrhage (SDH) is often associated with infants experiencing nonaccidental injury (NAI). A study of the appearance and natural evolution of these birth-related hemorrhages, particularly SDH, is important in the forensic evaluation of NAI. The purpose of this study was to determine the normal incidence, size, distribution, and natural history of SDH in. Ventouse / Vacuum Procedure Review for conditions: vertex presentation term fetus cervix fully dilated head at least at 0 station or no more than 2/5 above symphysis pubis. Procedure Check all connections and test the vacuum on a gloved hand Provide emotional support and encouragement Soft cup vacuum (silastic cup ). Indications &prerequisites: as forceps. Contraindications: Inexperience. Inability to ass. Fetal position. High station. Suspicion of CPD. Non vertex presentations. Fetal coagulopathy. Cont. complication of ventouse: 7. Macrosomia. 8. Recent scalp blood sampling. Vacuum extraction is reserved for fetus 34 weeks.

PPT - INSTRUMENTAL DELIVERIES PowerPoint presentation

For a rigid cup ventouse delivery, a pudendal block . Whith perineal infiltration may be all that is needed soft. if soft cup is used analgesic requirements may be limited to perineal infiltration with local anaesthetic . If one failed don't try other. If 2 try vacuum without decent go cs. Max pressure vaccume is 400-600 mmh A small number of women will require assistance with their births, either by forceps or ventouse (vacuum extraction). The obstetrician will choose which is best for your situation. Find out more about your pain relief options and coping with labour. The third stage of labour: the placenta. The final stage of labour is delivery of the placenta We will also have a Powerpoint presentation on the history of the CCSA and where we are going. CTG noted episodes of bradycardia, ventouse cup applied, episiotomy done. Delivery of alive female infant on third pull given to paeds team. 1 2 Delivery vacuum O81 Delivery vacuum O81 Group B Strep Carrier Labour and delivery with fetal. Whether you have an assisted delivery or a caesarean, there are some risks where malpresentation is involved. Assisted delivery. An assisted delivery, or instrumental delivery, is when your doctor uses forceps or ventouse (vacuum extraction) to help deliver the baby. Both techniques can cause a bit of swelling or leave a mark on your baby's.

INSTRUMENTAL DELIVERIES - PPT(PowerPoint Presentation

Forcep Delivery PowerPoint PPT Presentations - PowerSho

Thus, the final study population was restricted to all live-born, preterm singleton infants with a non-breech presentation at birth, delivered after a spontaneous or induced onset of labor followed by CS, vacuum extraction (VE), or by unassisted vaginal delivery (VD) before gestational week 37 + 0 days (N = 40,764) Thiery et al, Vacuum extraction Original articles J. Perinat. Med. 15 (1987) 129 Michel Thiery, Rudy Van Den Broecke, Guy Kermans, Walter Parewijck, Marc Dhont, Maureen Vanlancker, Henry Van Kets, Paul Defoort, Robert Derom, and Piet Vanhaesebrouck1 Department of Obstetrics and Gynecology and department of Pediatrics, University Hospital, Ghent, Belgium 1 Introduction MALMSTRÖM designed the.

Vacuum Extraction The Ventouse Definition It is a

The 36 week/40 week neonate was delivered by using a ventouse because the forceps failed and there was fetal emergency the mother was exhausted. It is a very technical vacuum device, designed for the delivery purpose. It helps to deliver the baby when adequate progression in the delivery was not apparent (e medicine) Devices like the vacuum and forceps simply assist in your delivery. They are there to assist you in pushing your baby out, but they aren't able to actually remove the baby from the birthing canal by themselves. If you need extra guidance from a vacuum, it is possible that your baby's head may come out cone-shaped. This may happen if you. Vacuum extraction. A vacuum-assisted delivery involves attaching a soft cup to the head of the infant while it is in the birth canal and a hand-held pump is used to create suction to facilitate delivery. The advantage is that this assisted birth option has a lower risk than a C-section of prolonged fetal distress Welcome to RCOG eLearning. RCOG eLearning is an online educational resource developed by the Royal College of Obstetricians and Gynaecologists (RCOG). We offer a range of products to support training and professional development in women's healthcare. Account creation is free of charge and can be set up by clicking on the 'Register now' button

Ventouse and forceps delivery Obgyn Ke

rupture uterus, presentation and prolapse cord. 2 44-45 • Augmentation of labour. Medical and surgical induction.Version Manual removal of placenta. 2 46-47 Obstetrical operation: Forceps delivery, Ventouse, 2 48 -4 By 36, most babies are in the head-down position (vertex presentation), which is the best and safest position for delivery. Labor and Delivery. Vacuum delivery is a type of assisted birth delivery also called ventouse-assisted delivery. Vacuum-assisted birth is a method to assist the delivery of a baby using a vacuum device Forty-five had a vaginal delivery, which was unassisted in 31 and instrument assisted in 14 (seven forceps and seven Ventouse vacuum extractions). The overall episiotomy rate was 29%; 57% in the forceps delivery group, 71% with Ventouse extraction, and 23% without instrumental assistance. All episiotomies were mediolateral in orientation Obstetric forceps and vacuum extractor are used to facilitate delivery of the fetal head. Their use is usually restricted to certain difficult deliveries in order to shorten the second stage of labour. In the last 2-3 decades, delivery by C.S. Has replaced most of the difficult instrumental techniques

Operative Vaginal Delivery - Forceps - Ventouse

Cephalic presentation - brow , face and chin. Mechanism of delivery and management Vacuum extraction delivery. Sample Cards: contraindications of ventouse, advantages of ventouse over forceps, Pregnancy Physiology Lecture Powerpoint, Placenta Lecture Powerpoint, Prenatal Care Lecture Powerpoint, And more! Obstetrics Fundal pressure during the second stage of labour (also known as the 'Kristeller manoeuvre') involves application of manual pressure to the uppermost part of the uterus directed towards the birth canal, in an attempt to assist spontaneous vaginal birth and avoid prolonged second stage or the need for operative birth Objective Early detection of ocular abnormalities in newborn infants is essential for timely diagnosis and treatment. This study aimed to assess wide-field digital imaging for universal newborn eye screening (UNES) to determine the prevalence of ocular abnormalities, including retinal haemorrhages, in newborn infants in New Zealand. Design Prospective ocular screening study of infants Assessment. Assessment for delivery starts at the second stage of labor, which is the full cervical dilatation until the birth of the baby.This would be a crucial time since the mother would need to deliver her baby at this stage without any troubles and with her strength intact so she could push for a normal vaginal delivery If the cervix is fully dilated, the fetus may be delivered either by using obstetric forceps or the vacuum/ventouse extractor as I mentioned above in the ter... Musculoskeletal Dysfunctions Research Paper . This explains the presentation of limited hip extension range and hip flexors tightness at amputated side (Gottschalk, 1999)

Ventose and forceps delivery for undergraduatePPT - Modi flags off Run for Unity: The importance ofOperative obstetrics

Caesarean section was more likely to be done after attempted ventouse delivery than after attempted delivery by forceps (73/140 [52%] vs 34/92 [37%]). There were 58 deliveries with forceps (27 with manual rotation and five by Kielland's forceps), 67 ventouse deliveries (26 rotational), and 59 deliveries with forceps and ventouse 6 Instrument delivery refers to delivery by forceps or vacuum/ventouse. 7 Dystocia indications include arrest of descent and failure to progress as opposed to indications for fetal well-being. 8 If the reporting centre is different from the vaccinating centre, appropriate and timely communication of the adverse event should occur Introduction. Assisted vaginal birth (AVB) is a vital procedure that, in skilled hands, can markedly reduce maternal and neonatal complications in the second stage of labour.1 In the UK, approximately one in eight women require an AVB, which typically involves forceps and/or ventouse devices.2 However, AVB is not without risk. A forceps-assisted birth confers an increased risk of perineal and. vacuum extractor - (ventouse) rubber or metal suction cap device used on fetal head to aid birth. vertex presentation - (cephalic presentation) where the fetus head is the presenting part, most common and safest birth position. Z-score - (standard deviation scores) commonly used to assess growth of preterm infants Background Perinatal infratentorial haemorrhage (PIH) is a rare birth complication associated with abnormal labour. Case presentation A baby boy was born by vacuum extraction at 41 weeks' gestational age. The pregnancy was uneventful and Apgar scores were 3/6/9. Following initial resuscitation, insufficient and irregular breathing, non-reactive pupils and absence of spontaneous movements.