Vacuum Assisted Delivery (Ventouse) Made Simple for MBBS, OSCE & Viva | drnaveedmujahid

Vacuum Assisted Delivery (Ventouse) Made Simple for MBBS, OSCE & Viva Vacuum-assisted delivery is an instrumental vaginal delivery where a suction cup is applied to the fetal head to assist delivery during the second stage of labour. 📌 Indications Prolonged second stage of labour Maternal exhaustion Non-reassuring fetal heart rate Need to shorten second stage (e.g., cardiac disease) ⚠️ Prerequisites (VERY IMPORTANT for Exams) Full cervical dilatation Head engaged Known fetal position Ruptured membranes No cephalopelvic disproportion (CPD) 🚫 Contraindications Prematurity (less than 34 weeks) Face presentation Unengaged head Unknown position 🛠️ Procedure (Stepwise) Apply cup on flexion point Create vacuum gradually Apply traction with contractions Follow pelvic curve 👉 Maximum 3 pulls or 20 minutes rule (exam point) ⚡ Complications 👶 Fetal: Scalp injuries (cephalhematoma, chignon) Rare: intracranial hemorrhage 🤱 Maternal: Vaginal tears Postpartum hemorrhage 🎯 Exam Pearls Preferred over forceps in many cases Always mention prerequisites first in viva Stop if no progress → consider C-section #vacuumdelivery #ventouse #obstetrics #drnaveedmujahid #obgyn #medicalstudent #mbbslife #doctorlife #instrumentaldelivery #labouranddelivery #osce #vivaquestions #medicaleducation #medstudentpakistan #conceptlearning #neetpg #plab #usmle #youtubeshorts #fyp