This document discusses vacuum-assisted (ventouse) and forceps delivery. It provides indications for both, including maternal exhaustion or fetal distress. It describes the steps for applying ventouse or forceps, noting key points like fully dilated cervix and fetal position. Complications are discussed for both mother and baby, such as vaginal lacerations, scalp injuries, retinal hemorrhages, and rarely intracranial hemorrhage. Forceps are generally more traumatic with higher risks of soft tissue trauma, bleeding, and pain compared to ventouse. The document provides a guide for healthcare professionals on performing assisted vaginal deliveries safely and minimizing complications.