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Operative Delivery (Requirements (Head at/below ischial spines (Skull, not…

- - - - Neville-Barnes, Haig Fergussen, Simpson's
- - - - prolonged first stage of labour. fetal distress.
    - - Avoid labour. 39 W
    - - uncorrectable abnormallie
      - previous classic C section (vertical)
        
        risk of scar rupture (8%)
      - severe antenal fetal compromise
      - pelvic deformity, (rickets etc)
      - Placenta praevia
    - - Diabetes Mell and other medical conditions
      - Previous C Section
      - Breech presentation
      - older nulliparous
    - - Severe pre-eclampsia
      - Severe IUGR