Breech and Twin Delivery
Figure 11.1 Displacement of the fetal breech at ECV using the ‘one pole’ method. Figure 11.2 Flexing the fetal head after displacement of the breech. Vaginal Breech Birth Selection for…
Neonatal Resuscitation and the Management of Immediate Neonatal Problems
Figure 26.1 Diagrammatic representation of primary and terminal apnoea following the onset of acute total asphyxia at time 0. The next section in the graph relates to the oxygen, carbon…
Instrumental Vaginal Deliveries
Figure 9.1 Anterior asynclitism: more parietal bone and the sagittal suture in the anterior half of the pelvis. Figure 9.2 The newborn’s head showing the larger suboccipito-bregmatic diameter well above…
Episiotomy and Obstetric Perineal Trauma
Figure 18.1 (a) The superficial muscles of the perineum; namely, the superficial transverse perineal muscle, the bulbospongiosus and the ischiocavernosus form a triangle on either side of the perineum. (b)…
Non-Technical Skills to Improve Obstetric Practice
Figure 33.1 Hazards in obstetrics leading to harm. Vignette: due to staff sickness the levels required on a particular shift are less than adequate, and the skill mix may also…
Cerebral Palsy Arising from Events in Labour
Figure 31.1 Three-year-old child with spastic quadriplegic CP. (with kind permission from the parents) Figure 31.2 MRI showing cystic periventricular leukomalacia (arrows). (courtesy of Dr Carina Reis, Neuroradiology Department, S….
Risk Management in Intrapartum Care
Figure 29.1 Bupivacaine and fentanyl returned to lidocaine box in error. What are the Underlying Causes of Patient Safety Incidents in Intrapartum Care? In 16 of the 25 cases of…
Uterine Contractions
Figure 5.1 The uterine contractions that were one in every 2–2.5 min become one in every minute without any escalation of the oxytocin infusion precipitating prolonged deceleration. This is due…
Objective Structured Assessment of Technical Skills (OSATS) in Obstetrics
Figure 32.1 Different stages of the RCOG Specialty Training Programme in obstetrics and gynaecology. Reproduced with permission from the RCOG. Basic training incorporates the first two years of specialty training,…
Cord Prolapse and Shoulder Dystocia
Figure 12.1 Algorithm for the management of cord prolapse (RCOG guideline). Recognition of Cord Prolapse Cord prolapse should be suspected when there is an abnormal fetal heart rate (FHR) pattern…
