Hold the forceps near the perineum to visualise how they need to be applied.
The knobs on the handle should face toward the occiput.
Lubricate the blades with obstetric cream. As with non-rotational forceps, the blades should be applied between contractions.
Either blade can be applied first, but many obstetricians prefer to apply the anterior blade first. This blade is initially applied like non-rotational forceps.