With instrumental deliveries, include the following in your note:
- Evidence of a consent discussion
- Type of vacuum or forceps
- Station when applied, verification of position
- Application site on vertex / verification of application
- Number of pulls, contractions, and pop-offs with vacuum
- Comment of descent with traction
- Pressure: amount and whether decreased between contractions with vacuum
- Total length of time of application
- Markings on face, condition of scalp