Objective: Cesarean delivery rates are increasing worldwide, while operative vaginal delivery rates continue to decline. It was evaluated that the use of operative vaginal delivery may help to perform vaginal delivery safely and prevent cesarean section in stage II of labor performed for various maternal or fetal indications, reducing cesarean section rates. Design: A retrospective study. Setting: Department of Obstetrics and Gynecology, Turkish Ministry of Health Elazığ Fethi Sekin City Hospital Population: Patients who had operative delivery and 121 patients who had spontaneus vaginal delivery between 2019-2023. Methods: 75 patients who had operative delivery at Elazığ Fethi Sekin City Hospital between 2019 and 2023 were compared with 121 pregnant women who had spontaneous vaginal delivery as a control group. Singleton deliveries after 37 weeks of gestation and patients with no history of maternal complications were included in the study. Multiple pregnancies or cases with a history of maternal complications were excluded. Main Outcome Measures : Demographic data (age, gravida, parity), maternal characteristics (BMI, gestational week), fetal and neonatal parameters (fetal birth weight, Apgar scores, fetal pH) and postnatal outcomes (NICU requirement, presence of complications) were obtained retrospectively and compared. Result: Gravida and parity values were found to be significantly lower in the study group. There was no significant difference between the groups in terms of gestational week. The first minute Apgar scores of the infants in the study group were significantly lower than those in the control group. The mean fetal pH was significantly lower in the study group and the NICU requirement was higher in this group. Conclusion: The high rate of operative delivery in the first pregnancy may indicate that maternal-fetal adaptation complicates the delivery process.