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Operative vaginal delivery: all you should know
Bianca Masturzo1, Marina Zonca2, Chiara Germano3
1Sant'Anna University Hospital, Città della Salute e della Scienza, Turin, Italy - bmasturzo@cittadellasalute.to.it.
Minerva Obstetrics and Gynecology
|April 6, 2021
Summary
Operative vaginal delivery (OVD) is declining, increasing cesarean rates. This review promotes OVD by detailing vacuum and forceps techniques, addressing concerns about skilled instruction for safe delivery.
Area of Science:
- Obstetrics and Gynecology
- Surgical Techniques
Background:
- A decline in operative vaginal delivery (OVD) over three decades has correlated with increased cesarean section rates.
- Concerns exist that a lack of skilled instructors may lead to the obsolescence of OVD techniques.
Purpose of the Study:
- To review the literature on operative vaginal delivery (OVD).
- To compare international OVD guidelines.
- To illustrate correct vacuum and forceps application techniques to promote OVD as a safe delivery method.
Main Methods:
- Literature review.
- Comparative analysis of international OVD guidelines.
- Illustrative guide to vacuum and forceps application.
Main Results:
- OVD rates have decreased significantly.
- Cesarean section rates have increased.
- Variations exist in international OVD guidelines.
- Proper training is crucial for safe OVD.
Conclusions:
- Operative vaginal delivery (OVD) remains a safe alternative to cesarean birth when performed correctly.
- Standardized training and clear guidelines are essential to maintain and promote OVD proficiency.
- Addressing the shortage of experienced instructors is vital for the future of OVD.
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