Use of the Vacuum Extractor by Midwives—What Has Changed in the Last Decade?


  • P. Annie Clark CNM, MPH

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    • P. Annie Clark, CNM, MPH, is a Senior Technical Advisor for the Department of Global Outreach of the American College of Nurse-Midwives and is based at the national office in Silver Spring, Maryland.

    • P. Annie Clark is a staff member of American College of Nurse-Midwives. The views expressed in this manuscript do not necessarily reflect the opinions or official policies of her employer.

P. Annie Clark, 1 Lakeview Circle, Greenbelt, MD 20770. E-mail:


This article provides an update on use of vacuum extraction by certified nurse-midwives (CNMs) and certified midwives (CMs). Research findings from the last decade relevant to the training and use of vacuum extractors are reviewed along with professional guidelines and legal implications.