“…Pending the findings of the ROTATE randomised trials, which will hopefully illustrate the safe margin of using different rotational instruments, 8 international societies for obstetrics and gynaecology should contribute to preserve the art of rotational operative vaginal delivery and to disseminate relevant knowledge across different healthcare settings, regions and countries. Given the mounting evidence for the safety and effectiveness of Kielland's forceps, coordination among national training bodies is needed to promote knowledge sharing and exchange of expertise to maintain this essential obstetric skill.…”