Woman's bladder should be emptied to avoid lacerations and injury. Nursing Considerations Nurse obtains the type of forceps requested by the physician. The FHR is checked, reported, and recorded before forceps are applied. Mother may be informed that the forceps blades fit like two tablespoons around an egg. The blades come over the baby's ears.
Ordinarily traction is applied during contractions.
Major Disadvantages Causes a marked caput that may be noticeable as long as 7 days after delivery. Tentorial tears from extreme pressure have occurred. A mother may need reassurance that caput swelling is harmless to her infant and will decrease rapidly. Vacuum extraction should not be used if scalp blood sampling was done, because the suction pressure can cause severe bleeding. Not advantageous for preterm infants because of the softness of the preterm skull.