The vacuum extraction is performed only under specific - urgent circumstances and conditions. The most common indication is the descent of the fetus into the birth canal and non-progressive birth. Also, delivery by vacuum extractor can be performed if there is hypoxia of the fetus, when only weak responses of the fetus are audible. Furthermore, for example, the mother's weak contractions, reluctance to cooperate, insufficient pushing and the inability to expel the fetus. However, it should not be forgotten that the indications themselves must also be subject to other fulfilled conditions in order to proceed with vacuum extraction. The obstetrician always evaluates the situation professionally.