Intrapartum Care for the MRCOG and Beyond ( Membership of the Royal College of Obstetricians and Gynaecologists and Beyond )

Publication series ：Membership of the Royal College of Obstetricians and Gynaecologists and Beyond

Author： Thomas Baskett; Sabaratnam Arulkumaran

Publisher： Royal College of Obstetricians and Gynaecologists (RCOG)‎

Publication year： 2011

E-ISBN: 9781107711013

P-ISBN(Paperback): 9781906985400

Subject： R71 Obstetrics and Gynaecology

Keyword：妇产科学

Language： ENG

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Intrapartum Care for the MRCOG and Beyond

Description

This book provides a comprehensive overview of clinical intrapartum care, with an emphasis on a pragmatic approach which promotes the necessary vigilant care while also supporting the wishes of the pregnant woman who wants minimal interference. This second edition has been thoroughly updated to reflect current practice and developments in the field since publication of the first edition, with six new chapters added on topics that are of increasing importance: improving intrapartum care, lower genital tract trauma, emergency obstetric hysterectomy, acute uterine inversion, disseminated intravascular coagulation and acute tocolysis. The book is primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, and as such covers the RCOG curriculum for intrapartum care. It is also a valuable guide for all healthcare professionals working in the field, including trainees, consultants and midwives.

Chapter

1 Improving intrapartum care

Clinical governance

Clinical governance and performance chart (the Maternity Dashboard)

Conclusion

References

2 First stage of labour

Diagnosis of labour

Assessment of labour

Management of non-progressive labour

References

3 Second stage of labour

Utero–fetal–pelvic relationships

References

4 Fetal surveillance in labour

Recommendations for fetal monitoring in labour

Methods of intrapartum fetal monitoring

Conclusion

References

5 Third stage of labour

Physiology

Management

Oxytocic drugs

Retained placenta

References

6 Lower genital tract trauma

Classification

References

7 Induction of labour

Indications and contraindications for induction of labour

Complications of induction of labour

Cervical priming

Monitoring the fetus during induction of labour

Information provided to women

Induction for specific circumstances

Conclusion

References

8 Preterm labour and prelabour rupture of membranes

Risk factors for preterm delivery

Prediction and prevention of preterm labour

Clinical presentation and investigation of preterm labour

Management of preterm labour

Preterm prelabour rupture of membranes

Term prelabour rupture of membranes

Conclusion

References

9 Assisted vaginal delivery

Indications

Conditions to be fulfilled for assisted vaginal delivery

Forceps delivery

Vacuum extraction

Sequential instrumental delivery

Complications

Conclusion

References

10 Shoulder dystocia

Mechanism

Fetal complications

Maternal complications

Predisposing factors

Prediction and prevention

Management

References

11 Breech vaginal delivery

Management of breech delivery

References

12 Twin and triplet delivery

Obstetric factors

Anaesthetic factors

Management of labour

Triplets and higher-order births

References

13 Caesarean section

Indications

General considerations

Types of caesarean section

Surgical aspects

References

14 Vaginal birth after caesarean section

Selection

Management

References

15 Uterine rupture

Causes

Management

References

16 Emergency obstetric hysterectomy

Indications

Surgical aspects

Morbidity associated with hysterecomy

References

17 Cord prolapse

Aetiology

Diagnosis

Management

References

18 Antepartum haemorrhage

Placenta praevia

Placenta praevia accreta

Vasa praevia

Placental abruption

Unclassified antepartum haemorrhage

References

19 Postpartum haemorrhage

Aetiology

Medical management

Surgical management

References

20 Acute uterine inversion

Causes

Clinical features

Management

References

21 Amniotic fluid embolism

Pathophysiology

Clinical features

Management

References

22 Disseminated intravascular coagulation

Pathophysiology

Causes

Clinical features

Diagnosis

Management

References

23 Acute tocolysis

Indications

Tocolytics

Administration of tocolytic drugs

References

24 Severe pre-eclampsia and eclampsia

Clinical and pathological features

Management

References

25 Neonatal resuscitation

Assessment

The A B C D of resuscitation

Resuscitation of the baby with meconium-stained liquor

Actions in the event of poor response to resuscitation

Resuscitation of the preterm infant

Therapeutic hypothermia

When should resuscitation be stopped?

References

26 Perinatal loss: management of late fetal death and stillbirth

Risk factors for stillbirth

Aetiology of stillbirth

Management

Statutory requirements, administrative issues and documentation

Conclusions

References

Index

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