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…
Management of Women with Previous Caesarean Section
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…
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…
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…
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…
