Operative Vaginal Deliveries

Incidence:  3.3% as of 2013  Indications:  Prolonged second stage  Risk of fetal compromise  Shortening 2nd stage for maternal benefit (ex: cardiac conditions) Consent:  Comparison is c-section typically  Failure rate of OVD is ~3-6%  Forceps has higher success rate over vacuum, but also higher risk 3rd/4th degree tear  Risks to both mom and baby Prep:  Fetus appropriate station/position  Anesthesia Empty bladder Assess Pelvis/Passenger sizes/fit OR Ready Peds available  Episiotomy – NO!  Contraindications Fetal conditions, known or supspected: bone disorders (OI), bleeding disorders  Maternal infections: Hep C, HIV, etc  Concern for shoulder dystocia/cephalo-pelvic dysproportion 

Om Podcasten

Procedure Ready: Ob/Gyn (formerly called Pimped Ob/Gyn) is a podcast aimed at medical, PA, and NP students who are entering their clinical rotation in Ob/Gyn.  It covers topics including Your Ob/Gyn Survival Guide-Tips and Tricks, Labor and Delivery, Vaginal deliveries, C-sections, Hysterectomies, and more. Each podcast walks you through a portion of what you’ll experience during your clinical rotations, gives you tips for excelling, preps you for the clinical questioning that’ll occur, and sets you up to overall Honor the rotation! Email podcasts@procedureready.com with comments, questions, and episode ideas. ##Legal Disclaimer## The opinions expressed within this content are solely the speakers' and do not reflect the opinions and beliefs of their employers or affiliates.