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Review
. 2010 Mar;115(3):645-653.
doi: 10.1097/AOG.0b013e3181cfbefd.

Operative vaginal delivery

Edward R Yeomans  1
Affiliations
Review

Operative vaginal delivery

Edward R Yeomans. Obstet Gynecol. 2010 Mar.

Abstract

Operative vaginal delivery remains a valid option when problems arise in the second stage of labor. The most common indications are fetal compromise and failure to deliver spontaneously with maximum maternal effort. There is a clear trend to choose vacuum extraction over forceps to assist delivery, but the evidence supporting that trend is unconvincing. Recent literature confirms some advantages for forceps (eg, a lower failure rate) and some disadvantages for vacuum extraction (eg, increased neonatal injury), depending on the clinical circumstances. To preserve the option of forceps delivery, residency training programs must incorporate detailed instruction in forceps techniques and related skills into their curricula. Simulation training can enhance residents' understanding of mechanical principles and should logically precede clinical work.

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References

    1. Intrapartum fetal heart rate monitoring: nomenclature, interpretation, and general management principles. ACOG Practice Bulletin No. 106. American College of Obstetricians and Gynecologists. Obstet Gynecol 2009;114:192–202.
    1. Abenhaim HA, Morin L, Benjamin A, Kinch RA. Effect of instrument preference for operative deliveries on obstetrical and neonatal outcomes. Eur J Obstet Gynecol Reprod Biol 2007;134:164–8.
    1. Martin JA, Hamilton BE, Sutton PD, Ventura SJ, Menacker F, Kirmeyer S, et al. Births: final data for 2005. Natl Vital Stat Rep 2007;56:1–103.
    1. Murphy DJ, Koh DK. Cohort study of the decision to delivery interval and neonatal outcome for emergency operative vaginal delivery. Am J Obstet Gynecol 2007;196:145.e1–7.
    1. Powell J, Gilo N, Foote M, Gil K, Lavin JP. Vacuum and forceps training in residency: experience and self-reported competency. J Perinatol 2007;27:343–6.

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