Operative intervention in normal labor and delivery.

Since the intent of this chapter is to discuss the operative intervention in a normal labor and delivery, there has been no discussion of such operative obstetrical procedures as midforceps delivery, breech presentation and delivery, management of multiple pregnancy, or cesarean section. The person who performs normal obstetrics, but without special training for complicated obstetrics, must be able to diagnose a breech presentation or a multiple pregnancy and to know when a midforceps delivery or a cesarean section is indicated, and obtain appropriate consultation.