Assisted vaginal birth (AVB) remains a key aspect of respectful, effective care for women in labour. In trained hands, it is associated with better maternal and neonatal outcomes than the alternative of a caesarean section in late labour. Written to accompany the RCOG Assisted Birth Simulation Training (ROBuST) course, this book provides guidance on the only RCOG-approved, evidence-based techniques for when and how to perform AVB and complex caesarean sections. There are clear descriptions of techniques, plus photographs, diagrams and videos to improve learning. Internationally recognised contributors discuss all aspects of assisted birth, including vacuum and forceps-assisted birth; caesarean section at full dilatation; safe and effective practice of Kielland's forceps; and essential non-technical skills. This second edition includes chapters on providing care within the medico-legal context of modern obstetric practice and on exploring the worldwide trends in AVB. This remains a much-valued, and much-consulted, part of any accoucheur's library.

‘A solution to the challenge of reducing maternal and neonatal morbidity and mortality during childbirth is to perfect the art of assisted birth by simulation training. ROBuST addresses this much-needed knowledge in this arena. This well-written book with clear illustrations, tables and clinical pathways is by a team of globally recognised experts who perform, train and research in assisted births and have done so for decades. This is an excellent contribution and must be read and used to provide safe and respectful maternity care.’

Sir Sabaratnam Arulkumaran - PhD DSc FRCS FRCOG Professor Emeritus of O&G, St George’s University of London Past President RCOG, BMA and FIGO