Operative vaginal delivery involves the use of a forceps or a suction cup on the fetal head, to support the second stage of labor and to facilitate the delivery.

Indications for forceps delivery and vacuum extraction are essentially the same:

Operative vaginal delivery involves the use of a forceps or a suction cup on the fetal head, to support the second stage of labor and to facilitate the delivery. Indications for forceps delivery and vacuum extraction are essentially the same: Prolonged second stage of labor (from full cervical dilatation until delivery of the fetus). Suspected impairment of fetuses (z. B. unusual heart rate patterns) need to shorten the second stage for the benefit of the mother, for example. As if with maternal cardiac disorder (. Eg left-right shunt) or neurological diseases (. Eg spinal cord injury) pressing is contraindicated or a maternal exhaustion an effective pressing prevented a prolonged second stage is defined as follows: in nulliparous women: lack of continuous improvement for 3 hours with a local anesthetic or 2 h without local anesthesia in nulliparous women: lack of continuous improvement for 3 hours with a local anesthetic or 2 h without local anesthesia the choice of adjuvant depends largely on the attitude and experience of the user from and varies greatly. These measures are only at a low position of the fetal head (2 cm below the maternal ischial spines [station +2] or LOWER2 cm below the maternal spines ischiadicae [position +2 cm] or lower) used when the birth of the head only lower train or rotation has to be applied. Before the start of the operational vaginal delivery, the following should be done: Confirmation of full cervical dilation confirm the setting of the previous part of the pelvis in position 2 or lower Confirmation of membrane rupture confirmation that the fetal position for operative vaginal delivery is appropriate emptying of the maternal bladder Clinical assessment of pelvic dimensions (clinical pelvimetry) to determine whether the basin is also suitable written consent, adequate support and personnel as well and adequate analgesia or anesthesia are required information. Infant care providers should be informed about the mode of delivery, so that they can be prepared to handle all the complications in newborns. Among the contraindications include non-adjustment of the previous part in the pelvis, fetal unsafe setting and certain fetal diseases such as hemophilia. Vacuum extraction usually applies in case of premature birth <34 weeks contraindicated because an increased risk of cerebral haemorrhage is. More serious complications include maternal or child injuries and bleeding, esp. For an inexperienced surgeon or unsuitable patients. Significant perineal trauma and neonatal bruising are common in forceps delivery; Shoulder dystocia, Cephalhematoma, jaundice and retinal hemorrhages are more common in vacuum-assisted birth.

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