operative vaginal delivery
Assisted vaginal delivery using forceps or vacuum extraction to facilitate fetal descent and delivery.
Full Definition
Operative vaginal delivery refers to the use of instruments (forceps or vacuum extractor) to assist with fetal delivery during the second stage of labor. These procedures are performed when maternal pushing efforts alone are insufficient due to factors such as maternal exhaustion, fetal distress, or failure of descent. Specific indications include prolonged second stage, need for expedited delivery, or maternal conditions limiting pushing efforts. The procedure requires specific fetal station, position, and cervical dilation criteria to be safely performed.
Usage
Usage note: Encompasses both forceps and vacuum deliveries; specify instrument type when documenting.
In Context
- "Operative vaginal delivery was performed using low forceps for fetal bradycardia." — delivery operative report
- "The patient consented to operative vaginal delivery after prolonged second stage." — informed consent documentation