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1 Introduction Operative vaginal birth (OVB) accounts for 12% of all births in Australia, with varying rates around the world from 0.5% to 16.4% [1-3]. OVB may be indicated if concerns for maternal or fetal wellbeing arise in the second stage of labour. Fully-dilated caesarean section (FDCS) is an alternative to expedite birth, or may be required if OVB is unsuccessful.
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