Outlet | The fetal skull has reached the pelvic floor; the scalp is visible at the introitus without separating the labia. |
| The fetal head is at or on the perineum. |
| The sagittal suture is in the anteroposterior diameter or in the right or left occipitoanterior or occipitoposterior position. |
| Rotation does not exceed 45 degrees. |
Low | The leading edge of the fetal skull is station +2 cm or more. |
| The head is not on the pelvic floor. |
Mid | The head is engaged, but the leading edge of the skull is above station +2 cm. |
High | Forceps and vacuum are not included in this classification. |