Instrumental delivery should be promoted to reduce the rate of caesarean section in the second stage of labour say experts in The Obstetrician & Gynaecologist (TOG). Caesarean section rates have risen globally over the years, however, the rates of instrumental vaginal deliveries have declined. Reasons for this decline include reduction in training hours, lack of senior supervision and fear of litigation. Appropriate use of instrumental delivery could reduce risks associated with caesarean section, associated complications in current and future pregnancies and the costs of obstetric care...
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