During a forceps delivery, which of the following represents an absolute contraindication?
- A Gestational age 36 weeks
- B Incomplete cervical dilation ✓
- C Engaged fetal head with anterior asynclitism
- D Nulliparous patient with prolonged second stage
Correct answer: B. Incomplete cervical dilation
Explanation
Incomplete cervical dilation is an absolute contraindication to forceps delivery because applying forceps through an undilated or incompletely dilated cervix risks severe cervical lacerations and birth canal injury. Other prerequisites for operative vaginal delivery include fully engaged head, known fetal position, ruptured membranes, maternal pelvis adequate, and analgesia in place. Nulliparity with prolonged second stage is an indication, not a contraindication, for operative delivery when criteria are met.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.