My Ob used suction on Madeleine because I asked for some help! But she came out just beautiful, a little bit of a cone head but not much and this settled down in a couple of days. She was 8lb 13oz too, I just felt like I needed some assistance as I only had gas and a peth shot. I didn't have a birth plan though, I just went in with an open mind to avoid disappointment if it didn't work out.