TY - CHAP M1 - Book, Section TI - Chapter 20. Operative Delivery A1 - Incerpi, Marc H. A2 - DeCherney, Alan H. A2 - Nathan, Lauren A2 - Laufer, Neri A2 - Roman, Ashley S. Y1 - 2013 N1 - T2 - CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e AB - An operative delivery refers to an obstetric procedure in which active measures are taken to accomplish delivery. Operative delivery can be divided into operative vaginal delivery and caesarean delivery. The last several years have seen a steady decline in the operative delivery with an increase in the caesarean section rate. In addition, vacuum-assisted vaginal delivery has become more common than forceps. Most recent data from births in the United States during 2005 indicate that the vacuum-to-forceps ratio is approximately 4:1. The success and safety of these procedures are based on operator skill, proper timing, and ensuring that proper indications are met while contraindications are avoided. This chapter explains how each procedure is performed, the indications and contraindications to the procedure, the potential complications, and how to minimize complications. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/29 UR - obgyn.mhmedical.com/content.aspx?aid=56967496 ER -