Procedure Ready: Ob/Gyn

Author: Jennifer Doorey, MD, MS

Language: en-us

Genres: Education, Health & Fitness, Medicine

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Operative Vaginal Deliveries
Episode 21
Friday, 9 June, 2023

Incidence: 3.3% as of 2013 Indications: Prolonged second stage Risk of fetal compromise Shortening 2nd stage for maternal benefit (ex: cardiac conditions) Consent: Comparison is c-section typically Failure rate of OVD is ~3-6% Forceps has higher success rate over vacuum, but also higher risk 3rd/4th degree tear Risks to both mom and baby Prep: Fetus appropriate station/position Anesthesia Empty bladder Assess Pelvis/Passenger sizes/fit OR Ready Peds available Episiotomy – NO! Contraindications Fetal conditions, known or supspected: bone disorders (OI), bleeding disorders Maternal infections: Hep C, HIV, etc Concern for shoulder dystocia/cephalo-pelvic dysproportion