The Labour Ward Handbook, second edition, is a succinct manual that provides detailed clinical practice guidelines for the care of women in labour. Dealing more with the practice than the theory of labour ward management, this book is designed to be a ready guide for use in the delivery suite by the busy clinician. The format has been specifically designed to make retrieval of information quick and simple. Relevant pages can be reproduced and filed in the patient's case-notes thus serving not only as an aide memoire and checklist, but also as a supplementary record of the care provided. The Labour Ward Handbook is essential reading for practising obstetricians of all grades, midwives, labour ward managers, and all other medical professionals who are interested in the conduct of labour and risk management in the delivery suite. Key Features Checklists and bullet points for quick and straightforward guidence 'Further reading' at the end of each section Compliant with RCOG and NICE guidelines Builds on a very popular first edition If you work on the labour ward, this is the book to have with you at all times.
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Preface Acknowledgements Abbreviations Glossary Bleep/crash calls PART I: Approach to care Communication Documentation Admission to, and discharge home from, the delivery suite Learning from clinical incidents Transfer of care between professionals Reviewing what happened Further reading for Part I PART II: Normal and low-risk labour Vaginal examination Intravenous cannulation Management of normal labour Prelabour rupture of membranes at term (37-42 weeks) Management of the first stage of labour Fetal monitoring Fetal scalp blood sampling Augmentation of labour Cord-blood sampling Epidural analgesia in labour Management of the second stage of labour Criteria for paediatric attendance at delivery Management of the third stage of labour Immediate postpartum care Care of the newborn Meconium-stained amniotic fluid Neonatal resuscitation Babies born before arrival at hospital Episiotomy The woman with a history of childhood sexual abuse Use of birthing pool Further reading for Part II PART III: Abnormal and high-risk labour Powers, passenger, passage Caesarean section Recovery of obstetric patients High-dependency care Failed intubation drill Instrumental delivery Trial of vaginal delivery after a previous caesarean section Induction of labour Antenatal corticosteroid therapy Preterm prelabour rupture of membranes Preterm uterine contractions Deliveries at the lower margin of viability Multiple pregnancy Abnormal lie in labour Occipitoposterior position Malpresentation Breech presentation External cephalic version The woman with genital mutilation The obese woman in labour Perineal tear Medical conditions Heart disease in labour Peripartum cardiomyopathy Pre-eclampsia Eclampsia Diabetes mellitus Asthma (acute exacerbation in labour) Epilepsy Systemic lupus erythematosus Other connective tissue disorders Haemorrhage and haematological disorders The rhesus-negative woman Thromboembolism prophylaxis Acute venous thromboembolism and pulmonary embolism Major haemoglobinopathy Inherited coagulation disorders: haemophilia and von Willebrand's disease Immune thrombocytopenic purpura Thrombophilia Gestational thrombocytopenia Antepartum haemorrhage Major placenta praevia Retained placenta Postpartum haemorrhage Disseminated intravascular coagulopathy Delivery of the woman at known risk of haemorrhage Management of the woman who declines blood transfusion Infection Prophylactic antibiotics Intrapartum pyrexia Hepatitis B and C Intrapartum antibiotic prophylaxis for group B streptococci Genital herpes Human immunodeficiency virus Other obstetric emergencies Cervical tear and paravaginal haematoma Rupture of the uterus Shoulder dystocia Cord prolapse Anaphylaxis Inverted uterus Amniotic fluid embolism Sudden maternal collapse Latex allergy Stillbirths and congenital abnormalities Checklist for fetal loss at 13-23 weeks Intrauterine fetal demise Mid-trimester termination of pregnancy for fetal abnormality Protocol for medical termination of mid-trimester pregnancy Further reading for Part III Appendices Appendix A: Guidance for obtaining consent to treatment Appendix B: Standards for administering blood transfusion Index
