The article discusses the relative merits of vacuum extraction and forceps delivery in neonatal care, highlighting that while vacuum extraction may reduce neonatal trauma, it is associated with increased risk of mild jaundice. The authors suggest that newer types of vacuum cups might reduce trauma and jaundice, but more randomized trials are needed to confirm this. The article also notes that women's views on these methods are important, with forceps delivery being reported to cause less pain but more concerns about the baby. Larger, multicenter trials are recommended to provide a more precise assessment of the relative benefits of the two instruments. Additionally, the article introduces the Hospital Anxiety and Depression Scale (HADS), a self-assessment tool designed to distinguish between biogenic and psychogenic mood disorders. The HADS is noted for its simplicity, acceptability, and effectiveness in distinguishing between depression and anxiety. The scale has been translated into multiple languages and is available for free in the UK. The Doctors and Overpopulation Group's perspective on global population issues is also presented, emphasizing the need for comprehensive contraceptive services and population education. The group argues that population growth is a significant driver of poverty, hunger, and environmental degradation, particularly in Africa and Ethiopia. Finally, the article touches on the concept of somatiform disorders, including learned pain behavior and irritable urethral syndrome, suggesting that these conditions share common features and histories. Recognizing this classification can aid in understanding and treating these disorders.The article discusses the relative merits of vacuum extraction and forceps delivery in neonatal care, highlighting that while vacuum extraction may reduce neonatal trauma, it is associated with increased risk of mild jaundice. The authors suggest that newer types of vacuum cups might reduce trauma and jaundice, but more randomized trials are needed to confirm this. The article also notes that women's views on these methods are important, with forceps delivery being reported to cause less pain but more concerns about the baby. Larger, multicenter trials are recommended to provide a more precise assessment of the relative benefits of the two instruments. Additionally, the article introduces the Hospital Anxiety and Depression Scale (HADS), a self-assessment tool designed to distinguish between biogenic and psychogenic mood disorders. The HADS is noted for its simplicity, acceptability, and effectiveness in distinguishing between depression and anxiety. The scale has been translated into multiple languages and is available for free in the UK. The Doctors and Overpopulation Group's perspective on global population issues is also presented, emphasizing the need for comprehensive contraceptive services and population education. The group argues that population growth is a significant driver of poverty, hunger, and environmental degradation, particularly in Africa and Ethiopia. Finally, the article touches on the concept of somatiform disorders, including learned pain behavior and irritable urethral syndrome, suggesting that these conditions share common features and histories. Recognizing this classification can aid in understanding and treating these disorders.