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September 2006 · Vol. 18, No. 9

COMMENT & CONTROVERSY

Down but not out: Some of us still use forceps

Fast Track

“Finally, someone has stepped up to the plate with an article explaining the virtues of operative vaginal delivery”

“Safe use and enduring value of operative vaginal delivery,” by Maeve Eogan, MD, and Colm O’Herlihy, MD (June)

It is reassuring to know there are still some advocates of appropriate operative vaginal delivery. I was trained to use forceps during my residency, and our teaching service had a forceps rate of approximately 21%, with a cesarean section rate of 18%. In contrast, our residents have an operative vaginal delivery rate of 4% to 5% and a C-section rate of 25%. Of course, many other variables have come into play, but less training and fear of litigation are 2 important factors.

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