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    Subjects/OBG/Instrumental Delivery — Forceps, Vacuum
    Instrumental Delivery — Forceps, Vacuum
    hard
    baby OBG

    A 32-year-old G3P2 at 39 weeks is in active labor. After 90 minutes of pushing, the fetal head is at +3 station in the left occiput posterior (LOP) position. Fetal heart rate shows variable decelerations with baseline 135 bpm. The patient is exhausted but cooperative. The obstetrician plans operative vaginal delivery. Which statement best describes the management approach?

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