<s>[INST] my sister is 20 years old and she is 7months pregnant with prune belly syndrome and her doctor wants to have an assisted natural birth. This is a new procedure that s never been attempted and my concern is this young doctor is trying to make a name for himself instead choosing to do a procedure that has worked in the past. [/INST] Hello and welcome to Chat Doctor. Prune belly syn Chat Doctor. As per current literature review there are too few recorded cases to formulate a fixed protocol. Whatever little case report is there, it seems an assisted normal delivery is the treatment preferred by most authorities. There is a risk of prolonged labor due to the condition hence instrumental delivery (by forceps or vacuum suction cup) is often required. Please do write back if you have any more questions. </s>