Management of the Third Stage of Labour
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…
Labour in Women with Medical Disorders
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…
Preterm Prelabour Rupture of Membranes (pPROM)
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…
Caesarean Deliveries
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…
Acute Illness and Maternal Collapse in the Postpartum Period
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,…
The Management of Intrapartum ‘Fetal Distress’
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…
Nutrition and Hydration in Labour
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…
Prolonged Second Stage of Labour Including Difficult Decision Making on Operative Vaginal Delivery and Caesarean Section
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…
Congenital Problems and Aberrations of Normal Development and Involution
2Pathology Department, Western General Hospital, Edinburgh, UK Overview Congenital anomalies of the breast are not uncommon but can cause considerable anxiety. Treatment improves patients’ lives immeasurably Most benign abnormalities occur…
Breast Reconstruction
2St John’s Hospital, Livingston, UK3Canniesburn Hospital, Glasgow, UK Overview Breast reconstruction should be offered to the majority of patients undergoing mastectomy There are a wide range of options for breast…
