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CC BY 4.0 · Rev Bras Ginecol Obstet 2023; 45(07): 422-434
DOI: 10.1055/s-0043-1772581
DOI: 10.1055/s-0043-1772581
Febrasgo Position Statement
Operative vaginal delivery
Number 7 – July 2023
Key points
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When the correct technique is applied, forceps and vacuum extractors have low rates of complications.
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For the fetus with signs of hypoxia in the expulsive phase, operative vaginal delivery has the potential to reduce exposure to intrapartum factors that promote hypoxic-ischemic encephalopathy.
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Medium and/or rotational forceps are appropriate options in selected circumstances and require skill and experience.
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Even though forceps are more effective than vacuum extraction for operative vaginal delivery, they are more associated with severe perineal lacerations.
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Cephalohematoma is more likely to occur with increasing duration of vacuum extraction.
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Flexible vacuum cups have higher failure rates, but lower incidences of trauma to the newborn’s scalp.
The National Specialized Commission on Obstetric Emergencies of the Brazilian Federation of Gynecology and Obstetrics Associations (Febrasgo) endorses this document. Content production is based on scientific evidence on the proposed theme and the results presented contribute to clinical practice.
Publication History
Article published online:
18 August 2023
© 2023. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
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