Operative vaginal delivery

Katherine R. Goetzinger, George A. Macones

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

1 Scopus citations


The concept of using forceps or a vacuum extractor to achieve a successful vaginal delivery during the second stage of labor was popularized in the 18th century; however, rates of operative vaginal delivery have been steadily declining in the United States over the past two decades. Despite controversy over maternal and neonatal morbidities associated with their use, both forceps and vacuum extractors have been proven to be safe and effective instruments when utilized in appropriate clinical situations by skilled providers. A continued emphasis on the education and training of providers in the proper use of both forceps and vacuum is necessary to ensure that these instruments continue to play an active role in modern obstetrics.

Original languageEnglish
Title of host publicationManagement of Labor and Delivery
Subtitle of host publicationSecond Edition
PublisherWiley Blackwell
Number of pages22
ISBN (Electronic)9781118327241
ISBN (Print)9781118268643
StatePublished - Oct 27 2015


  • Cephalohematoma
  • Forceps
  • Intracranial hemorrhage
  • Operative vaginal delivery
  • Pelvic floor dysfunction
  • Perineal laceration
  • Vacuum extractor


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