Are you desparately in need of a vacuum or autovacuum is not keeping up on postgresql ?

Here is a good write-up on the subject from AWS

Here is how to tell if autovacuum is currently running.

SELECT datname, usename, pid, state, wait_event, current_timestamp - xact_start AS xact_runtime, query
FROM pg_stat_activity
WHERE upper(query) LIKE '%VACUUM%'
ORDER BY xact_start;

If you need to turn off autovacuum temporarily (don’t suggest leaving it off) here is how.

ALTER TABLE table_name SET (autovacuum_enabled = false);

https://docs.aws.amazon.com/AmazonRDS/latest/UserGuide/Appendix.PostgreSQL.CommonDBATasks.Autovacuum.html

WITH vbt AS (SELECT setting AS autovacuum_vacuum_threshold FROM
pg_settings WHERE name = 'autovacuum_vacuum_threshold'),
vsf AS (SELECT setting AS autovacuum_vacuum_scale_factor FROM
pg_settings WHERE name = 'autovacuum_vacuum_scale_factor'),
fma AS (SELECT setting AS autovacuum_freeze_max_age FROM pg_settings WHERE name = 'autovacuum_freeze_max_age'),
sto AS (select opt_oid, split_part(setting, '=', 1) as param,
split_part(setting, '=', 2) as value from (select oid opt_oid, unnest(reloptions) setting from pg_class) opt)
SELECT '"'||ns.nspname||'"."'||c.relname||'"' as relation,
pg_size_pretty(pg_table_size(c.oid)) as table_size,
age(relfrozenxid) as xid_age,
coalesce(cfma.value::float, autovacuum_freeze_max_age::float) autovacuum_freeze_max_age,
(coalesce(cvbt.value::float, autovacuum_vacuum_threshold::float) +
coalesce(cvsf.value::float,autovacuum_vacuum_scale_factor::float) * c.reltuples)
AS autovacuum_vacuum_tuples, n_dead_tup as dead_tuples FROM
pg_class c join pg_namespace ns on ns.oid = c.relnamespace
join pg_stat_all_tables stat on stat.relid = c.oid join vbt on (1=1) join vsf on (1=1) join fma on (1=1)
left join sto cvbt on cvbt.param = 'autovacuum_vacuum_threshold' and c.oid = cvbt.opt_oid
left join sto cvsf on cvsf.param = 'autovacuum_vacuum_scale_factor' and c.oid = cvsf.opt_oid
left join sto cfma on cfma.param = 'autovacuum_freeze_max_age' and c.oid = cfma.opt_oid
WHERE c.relkind = 'r' and nspname <> 'pg_catalog'
AND (age(relfrozenxid) >= coalesce(cfma.value::float, autovacuum_freeze_max_age::float)
OR coalesce(cvbt.value::float, autovacuum_vacuum_threshold::float) +
coalesce(cvsf.value::float,autovacuum_vacuum_scale_factor::float) *
c.reltuples <= n_dead_tup)
ORDER BY age(relfrozenxid) DESC LIMIT 50;