According to the ACOG classification of operative vaginal delivery, a 'low forceps' delivery is defined by the leading point of the fetal skull being at which station?
- A At or below +2 cm, not on the pelvic floor ✓
- B At or below 0 station but above +2 cm
- C Scalp visible at the introitus without separating the labia
- D Any station below the ischial spines
Correct answer: A. At or below +2 cm, not on the pelvic floor
Explanation
Low forceps apply when the leading bony point of the skull is at station +2 cm or greater but the head is not yet on the pelvic floor, with rotation limited to less than 45 degrees. Option C describes outlet forceps, where the scalp is visible at the introitus, the skull has reached the pelvic floor, and rotation required is 45 degrees or less. Option B describes midforceps territory, which carries higher maternal and neonatal morbidity and requires experienced operators.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.