Operative Vaginal Delivery
What is the ratio of vacuum-assisted to forceps-assisted vaginal deliveries?
All except which of the following are acceptable indications for operative vaginal delivery?
c. Pelvic floor protection
d. 2nd stage labor ≥2 hours in a multipara with an epidural
A 31-year-old primigravida undergoing induction of labor reaches the 2nd stage of labor after 36 hours. Before beginning to push she says she is too tired and desires an operative vaginal delivery. Which of the following precludes her from having an elective operative vaginal delivery?
b. Head is in occiput anterior position
c. Scalp is visible at the introitus without labial separation
Which of the following is a prerequisite for vacuum extraction, but not a forceps-assisted vaginal delivery?
c. Assistant to create suction
d. Minimum 34 weeks’ gestation
Which of the following is true of high forceps?
a. No role in modern obstetrics
b. Indicated for fetal bradycardia
c. Forceps applied when the fetal head is engaged
d. Indicated for those with a prolonged second stage
Which of the following criteria must be met prior to performing an operative vaginal delivery?
b. Maternal bladder emptied
c. Known fetal head position