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https://www.uptodate.com/contents/operative-vaginal-delivery
However, there is a wide range in the prevalence of operative vaginal delivery both across and within geographic regions in the United States, which suggests that evidence-based guidelines for operative vaginal delivery are either inadequate or randomly applied, or familiarity and expertise with the technique is declining in some areas .
https://teachmeobgyn.com/labour/delivery/operative-vaginal/
An operative vaginal delivery (OVD) is defined as the use of an instrument to aid delivery of the fetus In the UK, operative vaginal delivery rates have remained stable at 12-13%; yielding safe and satisfying outcomes for the majority of the women and babies [].. In this article, we shall look at the indications, classification, and pre-requisites for an operative vaginal delivery.4.8/5
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1115650/
May 08, 1999 · An operative delivery is performed if a spontaneous birth is judged to pose a greater risk to mother or child than an assisted one. Operations are divided into abdominal methods (caesarean section) and vaginal assisted deliveries (forceps delivery and vacuum extraction).Author: Geoffrey Chamberlain, Philip Steer
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2672989/
An operative vaginal delivery should only be performed if there is an appropriate indication. No indication is absolute because the option of cesarean delivery is always available. A number of clinical situations exist in which operative vaginal delivery should not be attempted because of the potential risks to …Author: Unzila A Ali, Errol R Norwitz
https://www.mfmnyc.com/blog/indications-operative-vaginal-delivery/
Jan 23, 2018 · Operative vaginal delivery includes the use of forceps or vacuum to assist in the delivery of a baby. The use of forceps or vacuum is reasonable when an operative intervention to terminate labor is indicated and operative vaginal delivery can be safely and readily accomplished; otherwise, cesarean delivery is the better option.4.7/5(250)
https://www.acog.org/en/Clinical/Clinical%20Guidance/Obstetric%20Care%20Consensus/Articles/2014/03/Safe%20Prevention%20of%20the%20Primary%20Cesarean%20Delivery
Indications for Primary Cesarean. There is great regional variation by state in the rate of total cesarean delivery across the United States, ranging from a low of 23% to a high of nearly 40% Figure 2.Variation in the rates of nulliparous term singleton vertex cesarean births indicates that clinical practice patterns affect the number of cesarean births performed.
https://www.uptodate.com/contents/procedure-for-vacuum-assisted-operative-vaginal-delivery#!
Indications — An operative vaginal delivery (vacuum or forceps) should only be attempted when a specific obstetric indication is present . The three major categories of indication are prolonged second stage of labor, nonreassuring fetal status, and maternal cardiac or neurological disease, but there is no absolute indication.
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