โ I. Definition: Operative Obstetrics refers to the use of surgical or instrumental techniques during labor and delivery when normal vaginal delivery is not progressing safely for the mother or fetus. ๐ It includes procedures like episiotomy, forceps delivery, vacuum extraction, cesarean section, and in rare cases, destructive operations. ๐ II. Indications of Operative Obstetrics: ๐น When labor is prolonged or arrested๐น When there is fetal distress (abnormal FHR, meconium-stained