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Operative vaginal delivery, also known as assisted or instrumental vaginal delivery, is a vaginal delivery that is assisted by the use of forceps or a vacuum extractor. [ 1 ] Operative vaginal delivery is required in times of maternal or fetal distress to assist in childbirth as an alternative to caesarean section . [ 2 ]
A vaginal delivery is the birth of offspring in mammals (babies in humans) through the vagina (also called the "birth canal"). [1] It is the most common method of childbirth worldwide. [ 2 ] It is considered the preferred method of delivery, as it is correlated with lower morbidity and mortality than caesarean sections (C-sections), [ 3 ...
There is no restriction on rotation for this type of delivery. Midforceps delivery, when the baby's head is above +2 station. There must be head engagement before it can be carried out. High forceps delivery is not performed in modern obstetrics practice. It would be a forceps-assisted vaginal delivery performed when the baby's head is not yet ...
Birth attendant's skill (and experience with breech birth) – The skill of the doctor or midwife and the number of breech births previously assisted is of crucial importance. Many of the dangers in vaginal birth for breech babies come from mistakes made by birth attendants.
External cephalic version (ECV) is a process by which a breech baby can sometimes be turned from buttocks or foot first to head first. It is a manual procedure that is recommended by national guidelines for breech presentation of a pregnancy with a single baby, in order to enable vaginal delivery.
Vacuum extraction (VE), also known as ventouse, is a method to assist delivery of a baby using a vacuum device. It is used in the second stage of labor if it has not progressed adequately. It may be an alternative to a forceps delivery and caesarean section. It cannot be used when the baby is in the breech position or for premature births.
These procedures are only applied if a vaginal delivery has proven to still be safe to the woman and the baby, based on their vital signs. Assisted vaginal delivery is usually only used in the latent phase. [5] Delivery during the active phase is usually associated with more complications for the woman. [5]
An assisted delivery is used in about 1 in 8 births, and may be needed if either mother or infant appears to be at risk during a vaginal delivery. The methods used are termed obstetrical forceps extraction and vacuum extraction, also called ventouse extraction. Done properly, they are both safe with some preference for forceps rather than ...