ABSTRACT

This succinct manual provides detailed clinical practice guidelines for the care of women in labour, this is designed to be a ready guide for use in the delivery suite by the busy clinician. The third edition has been updated to include new developments in clinical practice and governance and new guidelines. So far as is possible, the differences in care scenarios internationally have been addressed to provide a reliable guide to safe delivery.

Key Features

  • Provides detailed clinical practice guidelines for the care of women in labour
  • Offers a ready guide for use in the delivery suite by the busy obstetric clinician and all members of the team
  • Focuses on the clinical relevance of the problem points arising.

part I|18 pages

Approach to care

chapter 2|3 pages

Communication between care providers

chapter 3|1 pages

Documentation

chapter 5|3 pages

Learning from clinical incidents

chapter 6|3 pages

Transfer of care between professionals

chapter 7|1 pages

Reviewing what happened

part II|61 pages

Normal and Low-Risk Labour

chapter 8|1 pages

Vaginal examination

chapter 9|1 pages

Intravenous cannulation

chapter 10|1 pages

Management of normal labour

chapter 12|4 pages

Management of the first stage of labour

chapter 13|6 pages

Fetal monitoring

chapter 14|2 pages

Fetal scalp blood sampling

chapter 15|3 pages

Augmentation of labour

chapter 16|1 pages

Cord-blood sampling

chapter 17|8 pages

Epidural analgesia in labour

chapter 18|3 pages

Management of the second stage of labour

chapter 20|2 pages

Management of the third stage of labour

chapter 21|2 pages

Immediate postpartum care

chapter 22|3 pages

Care of the newborn

chapter 23|2 pages

Meconium-stained amniotic fluid

chapter 24|5 pages

Neonatal resuscitation

chapter 25|1 pages

Babies born before arrival at hospital

chapter 26|1 pages

Episiotomy

chapter 28|3 pages

Use of birthing pool

part III|217 pages

Abnormal and high-risk labour

section Section 1|63 pages

Powers, passenger, passage

chapter 29|5 pages

Caesarean section

chapter 30|2 pages

Recovery of obstetric patients

chapter 31|2 pages

High-dependency care

chapter 32|1 pages

Failed intubation drill

chapter 33|11 pages

Instrumental delivery

chapter 35|6 pages

Induction of labour

chapter 36|2 pages

Antenatal corticosteroid therapy

chapter 37|2 pages

Preterm prelabour rupture of membranes

chapter 38|6 pages

Preterm uterine contractions

chapter 40|4 pages

Multiple pregnancy

chapter 41|2 pages

Abnormal lie in labour

chapter 42|1 pages

Occipito-posterior position

chapter 43|2 pages

Malpresentation

chapter 44|3 pages

Breech presentation

chapter 45|2 pages

External cephalic version

chapter 46|2 pages

The woman with genital cutting

chapter 47|2 pages

The obese woman in labour

chapter 48|2 pages

Perineal tear

section Section 2|35 pages

Medical conditions

chapter 49|3 pages

Heart disease in labour

chapter 50|2 pages

Peripartum cardiomyopathy

chapter 51|10 pages

Pre-eclampsia

chapter 52|3 pages

Eclampsia

chapter 53|6 pages

Diabetes mellitus

chapter 54|2 pages

Asthma (acute exacerbation in labour)

chapter 55|3 pages

Epilepsy

chapter 56|2 pages

Systemic lupus erythematosus

chapter 57|2 pages

Connective tissue disorders

section Section 3|51 pages

Haemorrhage and haematological disorders

chapter 58|2 pages

The rhesus-negative woman

chapter 59|5 pages

Thromboembolism prophylaxis

chapter 61|3 pages

Major haemoglobinopathy

chapter 62|3 pages

Inherited coagulation disorders

Haemophilia and von Willebrand disease

chapter 63|2 pages

Immune thrombocytopenic purpura

chapter 64|2 pages

Thrombophilia

chapter 65|1 pages

Gestational thrombocytopenia

chapter 66|4 pages

Antepartum haemorrhage

chapter 67|2 pages

Major placenta praevia

chapter 68|2 pages

Placenta accreta spectrum

chapter 69|1 pages

Retained placenta

chapter 70|6 pages

Postpartum haemorrhage

chapter 71|1 pages

Disseminated intravascular coagulopathy

section Section 4|20 pages

Infection

chapter 75|2 pages

Prophylactic antibiotics

chapter 76|2 pages

Intrapartum sepsis

chapter 77|2 pages

Hepatitis B and C

chapter 79|2 pages

Genital herpes

chapter 80|4 pages

Human immunodeficiency virus

chapter 81|2 pages

The woman with COVID-19

section Section 5|21 pages

Other obstetric emergencies

chapter 82|2 pages

Paravaginal haematoma and cervical tear

chapter 83|2 pages

Rupture of the uterus

chapter 84|3 pages

Shoulder dystocia

chapter 85|2 pages

Cord prolapse

chapter 86|2 pages

Anaphylaxis

chapter 87|2 pages

Inverted uterus

chapter 88|2 pages

Amniotic fluid embolism

chapter 89|2 pages

Sudden maternal collapse

chapter 90|2 pages

Latex allergy

section Section 6|21 pages

Stillbirths and congenital abnormalities