Which of the following is a CONTRAINDICATION to vacuum-assisted vaginal delivery?

• A Occiput posterior position at +2 station
• B Epidural analgesia in situ
• C Previous lower segment cesarean section
• D Gestational age of 32 weeks ✓

Explanation

Vacuum extraction is contraindicated below approximately 34 weeks of gestation because the preterm scalp and skull are fragile, with a high risk of subgaleal and intraventricular hemorrhage. Suspected fetal coagulopathy and face presentation are also contraindications. Occiput posterior position, a previous lower segment scar, and epidural analgesia are not contraindications to vacuum delivery.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.