In case of a prolonged second stage of labor and for fetal bradycardia,
use of instrumental delivery (vacuum extractor [Ventouse] or forceps)
may help shorten the second stage of labor and reduce the need
for cesarean delivery [13,14].
Instrumental delivery should only be attempted by care providers
who are trained and qualified to recognize the indications, and are
skilled and equipped to perform the procedure safely for mother
and baby