RT Book, Section
A1 Cunningham, F. Gary
A1 Leveno, Kenneth J.
A1 Dashe, Jodi S.
A1 Hoffman, Barbara L.
A1 Spong, Catherine Y.
A1 Casey, Brian M.
SR Print(0)
ID 1190761068
T1 Vaginal Delivery
T2 Williams Obstetrics, 26e
YR 2022
FD 2022
PB McGraw Hill
PP New York, NY
SN 9781260462739
LK obgyn.mhmedical.com/content.aspx?aid=1190761068
RD 2024/04/18
AB The  natural  culmination  of  second-stage  labor  is  controlled  vaginal  delivery  of  a  healthy  neonate  with  minimal  trauma  to  the  mother.  Although  some  clinical  settings  favor  cesarean  delivery,  for  most  fetuses,  vaginal  birth  is  preferred.  For  the  mother,  spontaneous  vaginal  vertex  delivery  poses  the  lowest  risk  of  most  maternal  comorbidity,  and  comparisons  with  cesarean  delivery  are  found  in  Chapter  30  (p.  548).  Delivery  is  usually  spontaneous,  although  some  maternal  or  fetal  complications  may  warrant  operative  vaginal  delivery,  described  in  Chapter  29  (p.  533).  Last,  a  malpresenting  fetus  or  multifetal  gestation  in  many  cases  may  be  delivered  vaginally  but  requires  special  techniques.  These  are  described  in  Chapters  28  and  48.