Just found this bit of info on emedicine.com. I've read that several people would prefer to opt for the C/S in liu of either VE or forceps because it's safer for baby and that got me concerned - that maybe I was feeling selfish for saying I'd do anything (inc asst del) to avoid a C/S.
DISCLAIMER - This info doesn't address all potential baby injuries, but it does address ICH - Intracranial Hemorrhage - aka brain bleed injuries - the most serious of injuries by far... (note - I've shortened the wording and added the %)
Table 3. Incidence of Fetal Intracranial Hemorrhage
Mode of Delivery Incidence of ICH
C/S with no labor 1 per 2,750 (0.04%)
Spontaneous vaginal delivery 1 per 1,900 (0.05%)
Cesarean delivery during labor 1 per 907 * (0.11%)
Vacuum-assisted vaginal delivery 1 per 860 * (0.12%
Forceps-assisted vaginal delivery 1 per 664 * (0.15%)
C/S after failed VE or Forceps 1 per 334 (0.3%)
Personally, I'm planning a VBAC - and we all talk about the fact that a chance of uterine rupture is in the 0.5% - 1.0% range - and that's so low that it's not something to be too concerned about. Well, in the worst case scenario as listed above - C/S after failed assisted delivery attempt, the risk of ICH is only 0.3%. WOW - so if I'm willing to attempt a VBAC because I feel the risk is acceptable, then why wouldn't I be willing to attempt an assisted delivery to avoid a repeat C/S? Even in the event I needed a C/S after an assted delivery, the risk of ICH is soooo low.
I was leaning towards VE over Forceps because of the damage to mom - again, I felt like maybe I was being selfish on that front. But according to the table above there's virtually no difference between the incidence of ICH in VE vs Forceps.
Then, at the same place, I also found this... NOTE - this table didn't cut and paste well, so I shortened some of the information to make it easier to read...
Table 2. Number of Tractions Required in Vacuum Extraction and Forceps Deliveries *
# Traction Efforts Vacuume Extraction Forceps
1-2 296 (68.4%) 213 (38.4%)
3-4 108 (24.9%) 270 (48.6%)
>5 29 (6.7%) 72 (12.9%)
So, according to this, it's more likely with Forceps that you'll need more traction (or pulls) applied than with VE. Also, if you opt for VE, 68.4% of the time it will be successful in the first couple tries. And that kind of alleviated my "selfish" feelings about opting for VE because it might be easier on me.
Just thought some of you might want to know...
Have a great day!!