When there is a valid indication for expediting the birth of the baby, the mother may have an assisted instrumental delivery rather than a caesarean section.

The decision is made based on a number of factors such as the condition of the foetus and mother, the progression in labour, the dilation of the cervix and position of the baby and its head.

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The use of a specific instrument is very variable depending on such things as regional and international differences and familiarity with a specific instrument. Appropriate analgesia is normally provided before an instrument delivery.
 

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