ENGLISH
The Fundamentals of Safe Vacuum Delivery
7 HOURS | ONLINE TUTORIAL COURSE
With video tutorials by Aldo Vacca
WELCOME TO CLASS
CLASS WORKBOOK
YOUR NAME _________________________________________
YOUR EMAIL _________________________________________
Official Academy Education
THIS COURSE EQUATES TO 7 HOURS OF CPDCPD PROVIDER: 22020
Master the art of safe vacuum delivery
WELCOMEOUR MISSION IS TO EQUIP AND TRAIN CLINICIANS IN THE HIGHEST STANDARD OF VACUUM-ASSISTED DELIVERY TO SUPPORT MOTHERS IN ACHIEVING A SAFE BIRTH.
DISCLAIMER
TERMS AND POLICIES*ALL PRACTITIONERS SHOULD ATTEND FORMAL TRAINING.The Fundamentals of Safe Vacuum Delivery course alone is not a replacement for formal
training. All practitioners should attend formal training and be enrolled in some form of
supervised vacuum-assisted delivery (VAD) graduate programme before attempting a
procedure.
COPYRIGHTAll Vacca Academy™ courses, workshops, publications and resources are protected by
copyright and all rights are reserved. No part of any Vacca Academy™ resources may be
reproduced or transmitted in any form or by any means, electronically or mechanically, including
photocopying, recording or by any information storage or retrieval system, without either prior
permission in writing from the publisher or a licence permitting restricted copying or usage. All
trademarks belong to their respective trademark holders.
DISCLAIMER AND CONDITIONS OF USEThe advice and information presented in the Vacca Academy™ resources is believed to
be true and accurate at the date of publication and every effort has been made to ensure
the currency and accuracy of information. However neither the author nor the publisher
can accept any legal responsibility or liability for any errors or omissions that may be made.
Furthermore, by using this resource you signify your consent to the following conditions of use:
Under no circumstances shall Vacca Academy™ or the author be liable for any consequential
damages that may arise from the reliance on information contained within this resource. Vacca
* ACCEPTANCE OF OUR TERMS BY ACCESSING ANY OF OUR RESOURCES, INFORMATION OR PRODUCTS, YOU AGREE TO AND ACCEPT THESE TERMS
Master the art of safe vacuum delivery
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CONTENTSCLASS OVERVIEW ..............................................................................................................5
HOW TO COMPLETE CLASS AND OBTAIN YOUR CLASS CERTIFICATE .....................7
LESSON ONE: CLASS INTRODUCTION ...........................................................................10
Reading • Lesson video running time 1:09min
LESSON TWO: UNDERSTAND THE PRINCIPLES OF VACUUM PROCEDURE ............17
Reading • Lesson video running time 4:46min • Eight activities • 20 min quiz
LESSON THREE : LEARN THE VACCA 5-STEPS TECHNIQUE ........................................39
Reading • Lesson video running time 4:26min • Twelve activities • 20 min quiz
LESSON FOUR : SAFETY MEASURES & TRAINING ........................................................65
Reading • Lesson video running time 7:15min • Ten activities • 20 min quiz
LESSON FIVE : CLASS REVISION ..................................................................................95
Reading • Lesson video running time 9:14min • Four activities • 20 min quiz
CLASS CERTIFICATE QUIZ ...........................................................................................118
20 Questions • 20 Minute quiz
Master the art of safe vacuum delivery
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CLASSOVERVIEWTHE FUNDAMENTALS OF SAFE VACUUM DELIVERY ONLINE CLASS WILL PROVIDE YOU WITH THE BASIC THEORY OF VAD. THIS CLASS ALSO PROVIDES THE PRE-REQUISITES TO PREPARE YOU TO ATTEND ONE OF OUR PRACTICAL TRAINING WORKSHOPS.
WHO SHOULD DO THIS COURSE?
Trainees, obstetricians, midwives, birth attendants, general practitioners (GPs), and other care providers.
DURATION:
10-Hours
DELIVERY:
A combination of online, video tutorials & class workbook activities.
THE FUNDAMENTALS OF SAFE VACUUM DELIVERY CLASS
• Learn and understand the key concepts required for successful vacuum delivery • Gain an appreciation of the obstetric circumstances in which the vacuum extractor may or may not be used safely • Learn the Vacca 5-Steps Technique to a safe vacuum-assisted birth • Test and apply your knowledge prior to the practical workshop training event.
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CLASS OVERVIEW
CLASS OUTLINE:
LESSON ONE: CLASS INTRODUCTIONWelcome to class. Meet Dr Aldo Vacca & Belinda Vacca
LESSON TWO: UNDERSTAND THE PRINCIPLES OF VACUUM PROCEDURE
Learn the fundamentals of a vacuum-assisted delivery procedure. Understand and become familiar with the technical principles of vacuum delivery. Concepts: • First-line method • Fundamental principles • The flexion point • The midline •
Digital distance • The midpoint
LESSON THREE : LEARN THE VACCA 5-STEPS TECHNIQUELearn the step-by-step best practice procedure of vacuum delivery. Become familiar with the technique and procedural steps common to all vacuum deliveries.Concepts: • Locating the flexion point • Calculating cup insertion distance • Manoeuvrability
of cups • Choice of vacuum cup • Manoeuvring the cup • Method of traction • Finger-tip and
finger-thumb techniques • The descent & pelvic floor phase • Preventing cup detachment
LESSON FOUR : SAFETY MEASURES & TRAININGGain an appreciation of the obstetric circumstances in which the vacuum extractor may or may not be used safely.Concepts: Operator experience • Pre-requisites for safe vacuum delivery • Safety before,
during and after vacuum delivery • Procedural limits • The 3+3 rule • Prevention of subgaleal
haemorrhage • Correct method of traction • Operator training • Classifications of indications •
Selection of patients • Case reviews
LESSON FIVE : CLASS REVISIONLet’s recap!Recap your classes and review safety measures before, during and after VAD. Recap on the key
principles of VAD and their implications for clinical practice.
Master the art of safe vacuum delivery
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HOW TO:COMPLETE LESSONS
Print this workbook and work through the class lesson plan. Each lesson is a video-based tutorial. Watch the tutorial and work through your workbook drawings and activities. Test your knowledge with class assessment quizzes.
LESSON WORKBOOKStart class with the workbook reading and activities.
LESSON VIDEOWatch each lesson video, make notes and draw diagrams as you go. Aldo Vacca will
take you through the fundamentals of VAD in a series of lesson videos.
LESSON QUIZAfter watching the lesson video and completing the workbook activities, take the quiz
and see how you go. Once completed move onto the next lesson.
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COMPLETE CLASS & CLASS CERTIFICATE
Your class certificate allows you to undertake practical and further training with Vacca Academy. Please print and keep your certificate for your records and future requirements.
CERTIFICATE QUIZTo get your certificate, first complete your lessons, then you may take the final quiz.
Your certificate will be awarded upon successfully passing the certificate quiz.
CLASS LOGMark your progress and final test score in your class log. Please keep your class log
and present it at any VAD training events.
ATTEND WORKSHOP SKILLS TRAINING
NEXT LEVEL EXTEND YOUR SKILLS AT ONE OF OUR WORKSHOP TRAINING EVENTS. SEE WWW.VACCAACADEMY.COM
LET’S BEGIN
ENGLISH
The Fundamentals of Safe Vacuum Delivery 7 HOURS | ONLINE TUTORIAL COURSE
With video tutorials by Aldo Vacca
LESSON ONEClass Introduction
CLASS WORKBOOK
YOUR NAME _________________________________________
YOUR EMAIL _________________________________________
Official Academy Education
11 | THE FUNDAMENTALS OF SAFE VACUUM DELIVERY © VACCA ACADEMY .com
LESSON ONE
NOTES
LESSON OUTLINE
WELCOME AND INTRODUCTION TO CLASS BY DR ALDO VACCA. MEET THE MAN WHO DEVELOPED THE VACCA 5-STEPS TECHNIQUE TO SAFE VACUUM ASSISTED DELIVERY.
CONCEPTS Welcome to class • About Aldo Vacca • Meet Belinda Vacca
Master the art of safe vacuum delivery
LESSON ONE
READING
Every vacuum delivery is composed of five basic steps, hence the Vacca 5-Steps Technique.
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LESSON ONE
DOCTOR ALDO VACCAThe late Dr Aldo Vacca (OAM, MBBS, FRCOG,
FRANZCOG, Grad Dip Ed) was renowned as a tireless
advocate and educator of vacuum-assisted delivery
(VAD), both in Australia and internationally. His efforts
are estimated to have avoided 100,000 cases of maternal
trauma in Australia alone*.
Dr Vacca identified and refined the five steps common to
all vacuum deliveries and developed the Handbook of Vacuum Delivery in Obstetric Practice.
He continued to research VAD issues throughout his life, producing many peer-reviewed
journal articles. However, Aldo was also driven to share his knowledge in a more practical sense
and so he produced a suite of teaching and training resources (which form the foundation of
the Vacca Academy) and travelled extensively to train operators in correct vacuum delivery
procedure around the world. As part of his training, Dr Vacca commissioned the development
of ‘Lucy’s Mum’, a maternal manikin that can simulate a vacuum delivery to a high degree of
realism. He also co-developed the Kiwi OmniCup vacuum device (including a reusable device for low
resource countries).
* Dietz H. Aldo Vacca’s legacy. O&G. 2015;17(1):55
EDUCATION AND TRAINING COORDINATOR BELINDA VACCABelinda is a master trainer in vacuum-assisted delivery
(VAD) and a practicing midwife of 23 years. As the
daughter of the late Dr Aldo Vacca, Belinda has benefited
from decades of observing, conversing with, and learning
from the foremost expert in VAD during his lifetime.
Vacuum-assisted delivery has been a strong feature
throughout Belinda’s life and she is proud to carry on her father’s legacy by continuing to
deliver his high quality 5-Steps training program both in Australia and abroad through the
Vacca Academy.
BEFORE CLASS BEGINS, LET’S MEET THE MAN WHO DEVELOPED THE 5-STEPS TECHNIQUE, DR ALDO VACCA AND YOUR CLASS FACILITATOR, HIS DAUGHTER, BELINDA.
LESSON ONE
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SO WHAT IS VAD?
WHAT IS VACUUM-ASSISTED DELIVERY?The vacuum extractor, sometimes called by the French name ventouse, is a device which, like
the obstetric forceps, may be used to assist a woman with the delivery of her baby. Essentially,
all vacuum extractors consist of a cup, which can be attached to the baby’s scalp by suction, a
traction system and a vacuum pump that provides the suction for attachment of the cup that
allows the operator to assist the mother with the birth.
THE AIM OF VACUUM-ASSISTED DELIVERY Where the second stage of labour is delayed or there is reason to expedite the second stage,
the aim of vacuum-assisted delivery is to replicate the normal mechanism of labour, assisting
the mother’s efforts with gentle traction and flexion correction. Vacuum-assisted delivery is not
designed to overcome resistance to descent with excessive traction.
It is essential for operators to acquire an appreciation of the obstetric circumstances in which the vacuum extractor may or may not be used safely.
* THE FLEXION POINT IS A CRITICAL LANDMARK FOR VACUUM EXTRACTION; WHEN THE FLEXION POINT IS ALIGNED WITH THE AXIS OF THE PELVIS THE OPTIMAL DIAMETERS OF THE FETAL HEAD WILL BE PRESENTING FOR DELIVERY.
LESSON ONE
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VACUUM-ASSISTED DELIVERY - IT ’S IN YOUR HANDS!Individuals should learn to grade instrumental procedures
according to the technical skill that is required and attempt
only those vacuum deliveries that fall within their own
level of expertise. Operators who are not familiar with the
vacuum extractor, whatever their seniority or skill with the
forceps, should begin with a program of straightforward cases such as outlet and non-rotational
VADs before attempting the more complex mid pelvic and rotational procedures. Outcomes
will be suboptimal and confidence in the technique will not be acquired if operators begin with
the more challenging procedures prematurely.
-- Dr Aldo Vacca
THE ALDO VACCA AWARDIn commemoration of Aldo’s contributions to global
women’s health, the Royal Australian and New Zealand
College of Obstetricians and Gynaecologists (RANZCOG)
has established the Aldo Vacca Award.
DR VACCA TRIBUTEAldo has left a great legacy to the world of safer delivery
for moms and babies. As you know, his lifelong work has
been dedicated to the welfare of mothers and babies of which he has made an extensive and
long-lasting contribution.
His Handbook of Vacuum Extraction in Obstetric Practice, and his everyday hands-on
techniques for VE delivery are without question the world standard for proper vacuum delivery.
His colleagues, peers, students and friends throughout the world attest to this fact.
I feel that as his colleagues, friends, students and associates we all have a responsibility to
continue his work in educating obstetricians and clinicians to these valued techniques that he
has provided.
Aldo’s work and your support of this work have and will continue to make a significant
difference in better practical operative obstetrics. As a memorial to him, I feel that we have the
responsibility to carry forward his work and teachings.
-- Dr. W. Dean Wallace
Master the art of safe vacuum delivery
GO TO
WWW.VACCAACADEMY.COM
LESSON ONE
VIDEO
WATCH THE LESSON VIDEO AND THEN MOVE ON TO LESSON TWO.