Logo FIGO 2018 | World Congress of Gynecology and Obstetrics
#FIGO2018 #EveryWomanMatters

The art of instrumental birth (ventouse and forceps) – how to ensure a safe outcome for baby, mother and her pelvic tissues

Date: October 14th, 2018

Time: 09:00 – 15:00 including a lunch break

Location: Room 204 C – Arnaldo Acosta

Language: English


  • Dr Gloria Esegbona – Obstetrician and Gynaecologist; CEO & Founder of the Art of Birth (artofbirth.org)
  • Dr Ross McQuivey – Clinical Director of Clinical Innovations and the Kiwi Cup

Faculty/Demonstrators: Organisers + Dr Elias Melos, Dr Tunde Shokoya etc


Instrumental birth is a dying but much needed art. It is known that the benefits of a vaginal birth are the release of hormones, which help the physical and psychological health of mother and baby long term.

Yet attempts at a safe instrumental are not made because of lack of experience.

  • Resulting in increasingly highly morbid caesarean births in the 2nd stage.
  • Or highly traumatic attempts at instrumental birth resulting in psychophysical trauma or death to mother and/or baby.
  • In addition, pelvic ultrasound research is revealing that 20-45% of mothers who have vacuum or forceps births have sustained a pelvic floor avulsion/trauma that increases the risk of prolapse, incontinence and sexual dysfunction.

What all of the above have in common is lack of the underlying anatomy, physiology and biomechanics of the instruments and tissues involved.

This unique practical interactive course delivered by experts with years of experience will show you not just how to use forceps and ventouse but also teach you little appreciated knowledge of the physiology and anatomy involved.

After rotating through several hands-on stations where you will get ample hands on experience you will be able to:

  • Perform a thorough assessment (independent and personal research and surveys suggest 67% of vaginal examinations wrong and this is the biggest predictor of failure and injury).
  • Choose the correct instrument for the case
  • Define and locate the flexion point, as well as recite its importance
  • Demonstrate proficiency in the performance of the essential steps of a vacuum and forceps birth on a pelvic model, including outlet, low and mid-pelvic deliveries, <45 degrees rotated, >45 degrees rotated, OA, OP, OT and asynclitism
  • Implement simple techniques that will relax the pelvic tissues, reduce the amount of traction needed and thus reduce trauma to the pelvic floor and perineum
  • Identify the most common complications associated with instrumental births and how to reduce them in your practice
  • Describe proper principles of safe vacuum assisted and forceps births including the Vacca 5-Steps.
  • Be competent, confident and comfortable teaching others the above objectives

This workshop is accompanied by short lectures, and rare video demonstrations and animations developed by the organisers, will provide a comprehensive refresher for obstetricians and gynaecologists of all grades who are looking to add the invaluable art of instrumental birth to their practice, and reduce the risk of morbidity and mortality to mothers and babies.

You will receive a handbook/toolkit and a certificate of attendance. You will also be given access to an in-depth online training platform and a Facebook/WhatsApp group.


  • Gloria Esegbona
  • Ross McQuivey
  • Alex Taylor
  • Glen Mola
  • Irene Hoesli
  • Sophia Webster
  • Christian Barnick
  • Elias Melo
  • Konstantinos Papadakis
  • Christian Barnick

















Scroll Up