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Here is a reference you'll find relevant. Charles C (1999) How it feels to be a midwife ventouse practitioner. British Journal of Midwifery 7(6):380-82 Mulholland L (1997) Midwife ventouse practitioners. British Journal of Midwifery 5(5):255 Denis Walsh -----Original Message----- From: [log in to unmask] <[log in to unmask]> To: [log in to unmask] <[log in to unmask]> Date: 22 October 1999 07:39 Subject: Re: midwives and ventouse >In a message dated 21/10/1999 23:15:25 GMT Daylight Time, >[log in to unmask] writes: > >> I am seeking information regarding midwives using ventouse. >> >> I would like to know >> a) where >> b) when >> and c) any results of evaluations of this use (if any) >> regards >> >> Rosalee >> > >In a study undertaken by the European Midwives Liaison Committee on the >twelve then member states of the European Community (now European Union), one >question of the survey asked the statutory bodies, Head midwives and clinical >midwives questions related to the activities of the midwife as defined by the >Activities of the Midwives (European Directive 80/155/EEC). > >Several measures to alliviate abnormality were explored: >- shoulder dystocia >- manual removal of placenta >- intra-uterine examination >- vacuum extraction >- forceps delivery >to determine whether or not they were undertaken as part of normal practice >or only in an emergency. > >As far as vacuum extraction was concerned, only the statutory authority in >Denmark indicated that this was an activity permitted for its midwives. 9.5% >of the Danish midwives surveyed stated that they undertook vaccuum extraction >as part of their normal practice. 15.8% of the Head midwives in Denmark and >0.6 in the UK allowed it as part of the normal practice of their midwives. >But some midwives indicated that this was part of their normal practice: >Belgium 3.5% >France 3.6% >Germany 1.5% >Greece 2.1% >Netherlands 1.7% >Italy 10.1% >Ireland 1.1% >Luxembourg 2.4% >Portugal 0% >Spain 0.7% >UK 0% > >Although it was only allowed by the Statutory authority, a number of Head >midwives reported allowing midwives they were employing to undertake vacuum >extractions: >Belgium 12.1% >Denmark 89.5% >France 10.0% >Germany 8.3% >Greece 7.1% >Netherlands 30.0% >Italy 0% >Ireland 0% >Luxembourg 0% >Portugal 0% >Spain 0% >UK 3.0% > >These proportions of midwives reported actually undertaking vacuum extraction >in an emergency: >Belgium 6.6% >Denmark 49.1% >France 14.3% >Germany 16.9% >Greece 5.9% >Netherlands 3.0% >Italy 9.2% >Ireland 1.1% >Luxembourg 4.9% >Portugal 5.0% >Spain 11.6% >UK 0.8% > >The questions asked were phrased as follow (in English and translated into >the other eight national languages): >Please indicate whether YOU carry out any of the following, AS PART OF NORMAL >PRACTICE by ringing 'yes' or 'no' >- delivery by vacuum extraction > >Second question - identical except that "as part of normal practice" was >replaced by "in an emergency". > >I am afraid I do not have information on other countries of Europe or >elsewhere. In this study we did not evaluate the outcome of the procedure >and I am not aware of any study without looking it up in MEDLINE or CINAHL. >I suggest that this would be the first places to investigate for the >effectiveness of the procedure when undertaken by midwives compared to >obstetricians. > >I hope this may be helpful. > >Marianne Mead >Translator to the European Midwives Liaison Committee > %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%