This book deals with the management of labour, guiding the readers to recognize problems by keen monitoring, based on anatomical and physiological understanding of labour. In this era of technology, this book revives the fading art of identification of clinical signs and symptoms. The chapters are well-structured, covering different aspects from suspicion to identification of the problems by recognizing subtle warning signals by the fetus and the uterus. Operative deliveries and common obstetric emergencies with their appropriate management are also covered. It provides practical points to prevent, anticipate, recognize, and manage problems during labour.
Key Features
- Helps to identify clinical signs and symptoms that infuses the reader with confidence to identify and manage abnormal situations during labour and childbirth through the feel of their fingers and awakened understanding.
- A must have book for all postgraduate trainees and practitioners of obstetrics, eager to learn the fundamentals of labour management.
- Features illustrated cases helpful in learning management of normal labour and pick abnormal labour, at the earliest possible deviation from normalcy.
Author(s): Gowri Dorairajan
Publisher: CRC Press
Year: 2022
Language: English
Pages: 206
City: Boca Raton
Cover
Half Title
Title Page
Copyright Page
Table of Contents
Preface
Acknowledgements
Editor
Contributors
Chapter 1 Anatomy of the Pelvis
Changes in Pelvis during Evolution
Changes in the Pelvis from Infancy to Adulthood
True Pelvis: Joints and Ligaments
Greater/False Pelvis
Lesser Pelvis
Pelvic Floor
Pelvic Joints and Ligaments
Types of Pelvis
Sexual Differences in Pelvis
Differences in Shape of Female and Male Pelvis
Pelvic Mechanism
References
Chapter 2 Understanding the Maternal Passage
Introduction
Clinical Application and Diameter of the Pelvis
Basic Types of Pelvis
Clinical Pelvimetry
Suggested Reading
Chapter 3 Understanding the Passenger
Focusing on the Vault
Important Landmarks
Diameters of the Fetal Skull
Summary of the Diameters of Engagement of the Fetus
Chapter 4 Stages of Labour
First Stage of Labour
Chapter 5 Understanding the Power: The Uterine Contractions
Normal Uterine Contractions
Formation of the Uterine Segments
References
Chapter 6 Understanding the Fetal Journey
Important Definitions and Terminologies
Understanding Fetal Position by Abdominal Examination
Mechanism of Labour
References
Chapter 7 Management of Labour
Assessment of a Woman in Labour
The Management of the First Stage of Labour
Monitoring of the First Stage of Labour
Changing Concepts in the Definition of Active Labour
Second Stage of Labour
Management of the Third Stage of Labour
Episiotomy
References
Chapter 8 Obstetric Analgesia
Introduction
History
Labour Pain and Pain Pathway
Techniques of Labour Analgesia
Neuraxial Techniques ( Epidural and Combined Spinal Epidural)
Conclusion
Chapter 9 Intrapartum Fetal Surveillance
Fetal Physiology in Interpretation of the Cardiotocography Findings
Risk Factors of Increased Intrapartum Fetal Compromise
Methods of Intrapartum Surveillance
Intrauterine Resuscitation
Adjunctive Technologies for Intrapartum Monitoring
References
Chapter 10 Understanding the Warning Signal of the Uterus and the Fetus
Predisposing Factors
Clinical Features and Identification of Abnormal Labour
Moulding
Caput Succidenum
Synclitism and Asynclitism
References
Chapter 11 Abnormal Uterine Contractions
Classification of Abnormal Uterine Contractions
Normal Polarity
Oxytocin
Timeline Definitions for Abnormal Labour
Management Goals of Abnormal Labour
Complications of Abnormal Labour: Abnormal Labour Can Result in Certain Complications Enumerated Below
References
Chapter 12 Cephalopelvic Disproportion and Contracted Pelvis
Clinical Identification Tests
External Pelvimetry
X-ray Pelvimetry
Role of CT Scan and MRI
Contracted Pelvis
Causes for Contracted Pelvis
Trial of Labour
Management of Trial Labour
References
Chapter 13 Abnormalities of Second Stage
Arrest in the Second Stage of Labour
Obstructed Labour and Bandl’s Ring
Shoulder Dystocia
Delivering Multiple Pregnancies
Reference
Chapter 14 Forceps Delivery
Parts of the Forceps
Prerequisites for Forceps Application
Types of Application
The Procedure
Forceps Rotation and Extraction
References
Chapter 15 Ventouse Delivery
The Apparatus for Ventouse Delivery
Mechanism of Vacuum Assistance
Application and Pull
Complications
Difference in Vacuum and Forceps-Assisted Deliveries
Chapter 16 Caesarean Section
Indications
Preoperative Preparations
Skin Incision and Steps
Difficult Caesarean Section: How to Bail Oneself Out
Troubled Situations
Elytrotomy
Postoperative Care
References
Chapter 17 Post-Partum Haemorrhage
Definition
Clinical Identification
Classification
Predisposing Factors
Prevention of PPH
References
Chapter 18 Clinical Approach to Case of PPH
Effective Resuscitation
Monitoring after the Initial Management
Definitive Management
References
Chapter 19 Specific Management of PPH
Management of Atonic Postpartum Haemorrhage
Management of Traumatic PPH
Management of Retained Products
Secondary Postpartum Haemorrhage
Massive Blood Transfusion
Coagulopathy and Its Management
References
Further Reading
Index
