Practice Bulletins #219 - Published April 2020

1. Episiotomies should never be performed routinely, even if you were trained to do it routinely to assist in operative vaginal delivery. If you think it's absolutely necessary, counsel the patient so that she can make an informed decision.

2. Overall, operative vaginal delivery carries low absolute risk for baby and mom w/ comparable relative risk compared to c-section

3. Vacuum-assisted delivery carries higher risks to the fetus when compared to forceps and lower risks to mom.

4. Major benefit to operative vaginal birth is decreased risk of hypoxic injury to the newborn in the event of successful expedited vaginal delivery through operative means (assuming there is concern for fetal acidemia)

5. Forceps, even in trained hands, carries significantly higher risk of severe perineal injury compared to vacuum.

Show Notes

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Wine pairing: 2018 Willamette Valley Pinot Noir from Inscription Wine
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