Forceps delivery should only be performed if certain requirements have been met.

Patient selection: vaginal birth


Requirements for forceps delivery:

(1) cervix fully dilated and retracted

(2) membranes ruptured

(3) fetal head engaged

(4) position of fetal head has been determined

(5) fetal weight estimated

(6) shape of maternal pelvis adequate for vaginal delivery

(7) adequate anesthesia administered

(8) maternal urinary bladder is empty

(9) informed consent obtained

(10) operative back-up plan formulated if unable to deliver

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