Assisted vaginal delivery in obese women

Maternal obesity is a known risk factor for operative vaginal delivery, which is up to two times more frequent in class III obesity. There are no specific recommendations regarding the use of assisted vaginal delivery in obese pregnant women, but it is frequently useful to ask women to hyperflex the thighs in order to have better accessibility to the presenting part. The likelihood of failed instrumental vaginal delivery is increased in obese women, and an experienced team in management of the situation should be on stanby.