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GUIDE TO THE USE OF THE VACUUM EXTRACTOR BY NURSE-MIDWIVES

Authors

  • Peter Johnson CNM, MS,

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    • Peter Johnson, CNM, MS, is a graduate of the USAF Nurse-Midwifery Educational Program. He currently holds the position of Nurse-Midwifery Director for Health Care Plan, an HMO in Buffalo, New York.

  • Sheila Pace CNM

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    • Sheila Pace, CNM, is a graduate of the University of Medicine and Dentistry of New Jersey. She is currently involved in the development of nurse-midwifery services for Health Care Plan, an HMO in Buffalo, New York.


Peter Johnson, CNM, MS, 98 Monroe Drive, Williamsville, NY 14221.

ABSTRACT

The vacuum extractor has become a widely used instrument in many settings. It has proven to be a reliable method of ensuring safe passage of the fetus and/or enhancing maternal effort during the second stage of labor. The principles of vacuum-assisted birth are learned relatively easily and have been incorporated into many nurse-midwifery practices. This article reviews the principles of vacuum extraction as they apply to the practice of nurse-midwifery. Vacuum extractors available to nurse-midwives are compared. Nurse-midwives are familiarized with vacuum extraction so that they can make an Informed choice concerning the vacuum extractor as an appropriate tool within their practice. This article is not intended to teach nurse-midwives to use the vacuum extractor. It does, however, provide guidelines for credentialing those nurse-midwives choosing to incorporate the principles of vacuum extraction into their practice.

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