Management of Normal and High Risk Labour During Childbirth

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