Article: Operative vaginal delivery strategies may curb risk.(Obstetrics)

SAN FRANCISCO -- Use of forceps or vacuum extractor during a vaginal delivery seldom is the sole cause of litigation, but you can reduce that risk even more, several speakers said at a conference on ob.gyn., perinatal medicine, neonatology, and the law.

Operative vaginal delivery can invite litigation when one of the following happens, according to Larry C. Gilstrap III, M.D., professor and chair of ob.gyn. and reproductive services at the University of Texas at Houston:

* Forceps or vacuum are used for an inappropriate indication, and the baby is damaged. Indications include a prolonged second stage of labor, fetal compromise, or a need to shorten the ...

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