{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T13:27:08Z","timestamp":1774618028572,"version":"3.50.1"},"reference-count":42,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2008,5,1]],"date-time":"2008-05-01T00:00:00Z","timestamp":1209600000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2008,5]]},"abstract":"<jats:p> After centuries of use in obstetrics, have forceps and vacuum deliveries become a dying art? Contemporary trends in operative vaginal delivery show increasing numbers of vacuum deliveries and decreasing numbers of forceps deliveries worldwide. Primary drivers of such trends include concerns over neonatal and maternal safety as well as fewer clinicians skilled in forcep use. Current literature reports a comparable efficacy rate for the two instruments, as well as a decrease in maternal morbidity compared with cesarean section. It has also been suggested that the neonatal morbidity once associated with operative vaginal delivery may actually be a function of an abnormal labor process itself, rather than a consequence of an operative vaginal intervention. Both the American College and the Royal College of Obstetricians and Gynecologists continue to support the use of both vacuum and forceps and strongly encourage residency programs to incorporate the teaching of these skills into their curricula. <\/jats:p>","DOI":"10.2217\/17455057.4.3.281","type":"journal-article","created":{"date-parts":[[2009,5,15]],"date-time":"2009-05-15T12:23:09Z","timestamp":1242390189000},"page":"281-290","source":"Crossref","is-referenced-by-count":44,"title":["Operative Vaginal Delivery: Current Trends in Obstetrics"],"prefix":"10.1177","volume":"4","author":[{"given":"Katherine R","family":"Goetzinger","sequence":"first","affiliation":[{"name":"Washington University, Department of Obstetrics & Gynecology, 4911 Barnes Jewish Hospital Plaza Box 8064, St Louis, MO 63110, USA, Tel.: +1314362 7139; Fax: +1314362 0041;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George A","family":"Macones","sequence":"additional","affiliation":[{"name":"E-mail:"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,5,1]]},"reference":[{"key":"bibr01-17455057.4.3.281","unstructured":"Papers of special note have been highlighted as either of interest (\u2022) or of considerable interest (\u2022\u2022) to readers."},{"key":"bibr1-17455057.4.3.281","volume-title":"Forceps Deliveries","author":"Dennen PC","year":"2001","edition":"4"},{"key":"bibr2-17455057.4.3.281","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-199412000-00004"},{"issue":"6","key":"bibr3-17455057.4.3.281","first-page":"1","volume":"56","author":"Martin JA","year":"2007","journal-title":"Natl Vital Stat. 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