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[quote=Anonymous]This sounds like a tough situation. It seems like the chance of getting baby low enough in 15 minutes of pushing (even when laboring down first) would be pretty low - most first time moms push for at least an hour even after laboring down with an epidural. Maybe the midwives have seen this type of plan work okay if laboring down is allowed to last a really long time?  I think if this were me, i'd probably just opt for a c-section to avoid the situation of going through labor and getting all the way to pushing only to find baby isn't low enough to use the vacuum. Even if baby is low enough for vacuum, there are risks to the baby of using the vacuum and also risk of injury to you. I'd be hesitant to deal with both an injury from the vacuum (for baby or me) and then a pretty high chance of a c-section anyway on top of that.  At birth i've heard multiple doctors say that they think risk of injury is higher with vacuum than with forceps so I think it would be good to talk to the midwives about what the risks of c-section and vacuum are so you can weigh the options.  I'd also want to know their thoughts on the likelihood of the laboring down + vacuum plan actually working.  [/quote]

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