Best Practice in Labour and Delivery

An understanding of when and how to intervene is the key to good obstetric care. This textbook is an encompassing reference covering all the essential information relating to childbirth; it offers clear practical guidance on all aspects of labour and delivery. Written by well-known leading experts, each chapter offers a modern authoritative review of best practice. The evidence base decribed will help to optimize outcome through appropriate clinical management and justifiable intervention. Whilst this is an ideal textbook for those training and taking examinations in labour ward practice, it offers all those caring for the woman in labour a modern, evidence-based approach which will help them understand, recognize and deliver the best possible clinical care. The importance of team working, prioritizing, and the organization of maternity care receive appropriate emphasis with clear guidance and practical advice.

• Explains the necessary skills for best obstetric care with highlighted section on equipment, drugs and protocols • The described practice will promote better quality and safer care with minimal fetal or maternal injury • Ideal text for those training and taking examinations in labour ward practice with an evidence-based approach

Contents
Preface; 1. Pelvic and fetal cranial anatomy and mechanism of labour Louay S. Louis and Richard Warren; 2. First stage of labour Sambit Mukhopadhyay and David Fraser; 3. Analgesia and anaesthesia in labour Jason Scott and Geraldine O'Sullivan; 4. Intrapartum fetal surveillance Rohan D'Souza and S. Arulkumaran; 5. Uterine contractions Vivek Nama and S. Arulkumaran; 6. The management of intrapartum 'fetal distress' Bryony Strachan; 7. Nutrition and hydration in labour David Fraser and Sambit Mukhopadhyay; 8. Prolonged second stage of labour including difficult decision making on operative vaginal delivery or Caesarean section Hajeera Butt and Dierdre Murphy; 9. Operative vaginal delivery – indications, techniques and complications Stergios K. Doumouchtsis and S. Arulkumaran; 10. Caesarean deliveries – indications, techniques and complications Lisa Story and Sara Paterson-Brown; 11. Breech and twin delivery Steve Walkinshaw; 12. Cord prolapse and shoulder dystocia Joanna Crofts,Timothy Draycott and Mark Denbow; 13. Antepartum haemorrhage Neelam Potdar, Osric Navti and Justin C. Konje; 14. Management of third stage of labour Pinakini Amin and Audrey Ann Long; 15. Postpartum haemorrhage (PPH) Nutan Mishra and Edwin Chandraharan; 16. Acute illness and maternal collapse in the postpartum period Guy N. B. Jackson and Steve Yentis; 17. Episiotomy and obstetric perineal trauma Ranee Thakar and Abdul Sultan; 18. Induction of labour (includes IUFD) Devi Subramanian and Leonie Penna; 19. Preterm pre-labour rupture of membranes Austin Ugwumadu; 20. Preterm labour and delivery Sarah L. Bell and Jane E. Norman; 21. Labour in women with medical disorders (sickle cell disease, diabetes, epilepsy, severe pre-eclampsia, HIV/AIDS) Mandish Dhanjal and Catherine Nelson-Piercy; 22. Management of women with previous Caesarean section scar Rajesh Varma and Gordon C. S. Smith; 23. Rupture of the uterus Nutan Mishra and Edwin Chandraharan; 24. Management of severe pre-eclampsia/eclampsia James J. Walker; 25. Neonatal resuscitation and the management of immediate neonatal problems Paul Mannix; 26. The immediate puerperium (perineal & pelvic haematoma, psychiatric illness, etc.) Mahishee Mehta and Leonie Penna; 27. Triage and prioritisation in a busy labour ward Tracey Johnston and Nina Johns; 28. Risk management related to intrapartum care Melissa Whitworth and Helen Scholefield; 29. Team working, skills and drills Dimitrios M. Siasskos and Tim J. Draycott; 30. Cerebral palsy arising from events in labour Julian Woolfson; 31. Objective-structured assessment of technical skills [OSATS] in obstetrics Melissa Whitten and Maggie Blott; Index.

Contributors
Louay S. Louis, Richard Warren, Sambit Mukhopadhyay, David Fraser, Jason Scott, Geraldine O’Sullivan, Rohan D’Souza, S. Arulkumaran, Vivek Nama, Bryony Strachan, Hajeera Butt, Dierdre Murphy, Stergios K. Doumouchtsis, Lisa Story, Sara Paterson-Brown, Steve Walkinshaw, Joanna Crofts, Timothy J. Draycott, Mark Denbow, Neelam Potdar, Osric Navti, Justin C. Konje, Pinakini Amin, Audrey Ann Long, Nutan Mishra, Edwin Chandraharan, Guy N. B. Jackson, Steve Yentis, Ranee Thakar, Abdul Sultan, Devi Subramanian, Austin Ugwumadu, Sarah L. Bell, Jane E. Norman, Mandish Dhanjal, Catherine Nelson-Piercy, Rajesh Varma, Gordon C. S. Smith, James J. Walker, Paul Mannix, Mahishee Mehta, Leonie Penna, Tracey Johnston, Nina Johns, Melissa Whitworth, Helen Scholefield, Dimitrios M. Siasskos, Julian Woolfson, Melissa Whitten, Maggie Blott