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Training in operative delivery is a key priority in obstetrics. Around one in five women are dissatisfied with their labour and delivery, especially operative delivery, often owing to poor communication by medical staff or inadequate technical skills. This can lead to sexual dysfunction and aversion to further pregnancy and birth as well as an increase in complaints and litigation. This book accompanies the RCOG ROBuST [RCOG Obstetric Birth using Simulation Training] course which will be a mandatory part of obstetric training at ST1-3 level from 2014. It covers the full range of operative vaginal delivery techniques an obstetrician will need to master. The focus is on delivering practical information to support the course, with each chapter clearly identifying the key learning points and providing step-by-step instructions for performing each technique.