RT Book, Section
A1 Incerpi, Marc H.
A2 DeCherney, Alan H.
A2 Nathan, Lauren
A2 Laufer, Neri
A2 Roman, Ashley S.
SR Print(0)
ID 56967496
T1 Chapter 20. Operative Delivery
T2 CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-163856-2
LK accessmedicine.mhmedical.com/content.aspx?aid=56967496
RD 2024/04/25
AB An  operative  delivery  refers  to  an  obstetric  procedure  in  which  active  measures  are  taken  to  accomplish  delivery.  Operative  delivery  can  be  divided  into  operative  vaginal  delivery  and  caesarean  delivery.  The  last  several  years  have  seen  a  steady  decline  in  the  operative  delivery  with  an  increase  in  the  caesarean  section  rate.  In  addition,  vacuum-assisted  vaginal  delivery  has  become  more  common  than  forceps.  Most  recent  data  from  births  in  the  United  States  during  2005  indicate  that  the  vacuum-to-forceps  ratio  is  approximately  4:1.  The  success  and  safety  of  these  procedures  are  based  on  operator  skill,  proper  timing,  and  ensuring  that  proper  indications  are  met  while  contraindications  are  avoided.  This  chapter  explains  how  each  procedure  is  performed,  the  indications  and  contraindications  to  the  procedure,  the  potential  complications,  and  how  to  minimize  complications.