Can vacuum extraction be safely used for premature infants?

Vacuum extraction is a method used to assist in the delivery of a baby when necessary, but it comes with specific risks and considerations, especially for premature infants. Premature babies typically have underdeveloped organs and structures, including the skin, brain, and lungs, making them more vulnerable to complications.

Using vacuum extraction on premature infants can increase the risk of traumatic injuries, such as intracranial hemorrhage or skull fractures, due to their fragile physical state. The application of suction can also expose them to prolonged labor or stress, which is particularly detrimental for infants who are already at higher risk for adverse outcomes.

While vacuum extraction may be appropriate in certain specific circumstances for preterm infants — such as if they are closer to term or if there are urgent medical indications — the general consensus among medical professionals is to avoid its use for most premature deliveries due to the potential complications and risks involved. Hence, blanket statements about its safety for premature infants, without significant qualifications, would be inaccurate.