Figure 21.1 Non-reassuring preterm cardiotocographic trace. A nulliparous woman presented with contractions and spontaneous rupture of the membranes with maladorous amniotic fluid at 34 + 2/7 weeks’ gestation. The cervical…
Spontaneous onset of labourNo need for augmentationNo repetitive FHR abnormalitiesPrevious successful VBACMedium riskMechanical or oxytocin induction of labourOxytocin augmentationTwo or more previous low transverse caesarean birthsFewer than 18 months between…
Figure 14.1 Insertion of hand into the uterus following the umbilical cord. It is crucial that the uterine fundus is controlled with the other hand in order to minimize the…
On therapeutic LMWH≥12 h after last dose≥24 h after last doseEpidural catheter removalOn LMWHNext dose LMWH10–12 h after last dose≥3 h after removal If analgesia is required for labour before…
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 20 Preterm Prelabour Rupture of Membranes (pPROM) Austin Ugwumadu Best Practice in Labour and Delivery, Second Edition, ed. Sir Sabaratnam Arulkumaran. Published by Cambridge University…
Maternal or fetal compromise, not immediately life threatening (e.g. pre-eclampsia, severe fetal growth restriction)Timed delivery (e.g. previous CS with fibroids; breech presentation at term)Elective (e.g. maternal request)2. IntrapartumEmergency because of…
Postpartum haemorrhageGenital tract/abdominal sepsisAmniotic fluid embolismPeripartum cardiomyopathyEclampsia, pre-eclampsia/HELLP syndrome with haemorrhage, liver rupture, strokeNon-obstetricThromboembolic diseaseGeneral anaesthesiaRegional anaesthesiaCardiac diseaseRespiratory diseaseAdverse drug reactionsMetabolicPrimary neurologicalOtherPulmonary embolism, cerebral vein thrombosisAspiration pneumonitis, atelectasis, respiratory depression,…
Figure 6.1 Sinusoidal pattern seen after ruptured membranes associated with anaemia from vasa praevia. Cord Prolapse The diagnosis of cord prolapse is made on vaginal examination. The management is to…
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 7 Nutrition and Hydration in Labour David Fraser and Jonathon Francis Best Practice in Labour and Delivery, Second Edition, ed. Sir Sabaratnam Arulkumaran. Published by…
No working epiduralGood expulsive effortsGood contractionsNo marked caput/mouldingBirth canal is roomyFavour forceps if:Dense epidural blockNo good expulsive effortsContractions not goodMarked caput/mouldingBirth canal is not roomyHaving judged that attempting OVD is…
