Advantages of the vacuum extractor compared with forceps include: Avoidance of inseion of space-occupying steel blades within the vagina No requirement for precise positioning over the fetal head Less maternal trauma Less intracranial pressure during traction Complications of the vacuum extractor include, Scalp lacerations and bruising Subgaleal hematomas Cephalohematomas Intracranial hemorrhage Neonatal jaundice Subconjunctival hemorrhage Clavicular fracture Shoulder dystocia Injury of sixth and seventh cranial nerves Erb palsy Retinal hemorrhage Fetal death Ref: Cunningham F.G., Leveno K.J., Bloom S.L., Hauth J.C., Rouse D.J., Spong C.Y. (2010). Chapter 23. Forceps Delivery and Vacuum Extraction. In F.G. Cunningham, K.J. Leveno, S.L. Bloom, J.C. Hauth, D.J. Rouse, C.Y. Spong (Eds), Williams Obstetrics, 23e.