Assisted deliveries

'Assisted deliveries' are called this because instruments are used in the second stage of labour to help assist the birth of the baby.The doctor will do a vaginal examination, then decide which is the most appropriate instrument to help you give birth. This will depend on the position of your baby and how far down the birth canal he is.

If the doctor feels there's a chance your baby can't be born vaginally because he's too large or in the wrong position, you'll be advised to have the procedure in the operating theatre, where they can then proceed to a caesarean quite quickly if it's unsuccessful.This is called a 'trial of ventouse/forceps'. Your bladder will be emptied prior to the procedure, using a catheter, then your legs will be placed in a lithotomy position (feet higher than hips).

With a forceps delivery, you'll probably have an episiotomy (a cut between the perineum and back passage), but it may not be necessary with a ventouse. Avoiding an epidural can help to reduce the chance of needing this type of birth.

Anne Richley, midwife.

By Anne Richley, midwife