3 indications for operative vaginal delivery

September 2, 2019

Jacquelyn Blackstone, DO, Vivek Katukuri, MD

Operative vaginal delivery is an important management option for patients in the second stage of labor whose clinical situation requires expedited delivery.

For more information:Â Will go vacuum delivery go the way of vaginal breech delivery

> 3-4 hours in nulliparous women
> 2 hours in multiparous women

Suspicious for immediate or potential fetal compromise	Non-reassuring fetal heart patterns in second stage of labor and need for expedited delivery for fetal well-being.

Maternal Condition precluding active second stage

Cardiovascular conditions such as Marfan syndrome, systemic ventricular dysfunction, severe aortic stenosis, and dilated cardiomyopathy