It usually occurs because the uterine contractions are not strong enough to help the baby turn its head to the proper position, or because the mother has a flattened pelvis. The size and shape of the mother's pelvis may favor sideways passage of the baby's head. Women who have had a baby already will usually be able to deliver the baby, but it may be a more difficult delivery. First-time mothers may need more help from the doctor. You may be asked to lie on her side or in the knee-chest position.
Forceps are large steel instruments like tongs that fit alongside the baby's head.
The doctor gently turns the forceps and the baby's head. When the head is turned, the baby can be delivered in the normal way. You will be given some type of anesthesia for pain relief. The doctor will place forceps alongside the baby's head. The cut will then be stitched closed.