Clinical Protocols in Labour

by Marsh; Michael S.

• ISBN13: 9781842140857
• ISBN10: 184214085X
• Format: Hardcover
• Copyright: 2002-01-04
• Publisher: CRC Press

Summary

Based on the protocols in use at the highly acclaimed King's College Hospital in London, Clinical Protocols in Labour presents a consensus of the best and most appropriate techniques for standard delivery and uncommon clinical scenarios. Each chapter is written as a stand-alone unit making the information easy to find. Coverage ranges from a general approach to care, normal labour, and care of the baby to specific issues such as eclampsia and pre-eclampsia, uterine rupture, and postpartum bleeding. In addition, the book includes protocols for emergency closure of the labour ward, communication among members of the labour team, and more. A compact, authoritative volume, Clinical Protocols in Labour provides practical templates for the perinatal management of women and their babies during labour and delivery.

Table of Contents

Introduction

The Approach to Care

Domino/GPO and Home Deliveries

Normal Labour

The Unbooked Woman Presenting to the Labour Ward

Pain Relief in Labour

Use of the Birth Pool for Labour and Delivery

Care of the Baby

Hypoglycaemia in the Newborn

Breastfeeding on Labour Ward and Skin-to-Skin Contact

The Prevention of Thromboembolism

Induction, Stimulation and Augmentation of Labour

Caesarean Section

Vaginal Instrumental Deliveries

Cardiotocograph Interpretation and Fetal Blood Sampling

Preterm Labour

Prevention and Treatment of Neonatal Group B Streptococcal Infection

Eclampsia and Pre-Eclampsia

Management of Maternal Diabetes in Labour

Infection Control Precautions with Particular Reference to Women with Blood-Borne Pathogens (Hepatitis B or HIV)

Management of Shoulder Dystocia

Breech Delivery

Twin Delivery

Prolapse of the Umbilical Cord

Uterine Rupture

Management of Postpartum Haemorrhage

Guidelines for the Management of Massive Obstetric Haemorrhage

Rescue Cerclage

Female Genital Mutilation

Overwhelming Sepsis

Failed Intubation Drill

Refusal to Receive Blood Products or Undergo Medical Intervention

Sickle Cell Disease

Peripartum Collapse

Elective Delivery of the Fetus Affected by Severe Red Cell Sensitization (e.g. Rhesus Diseases)

Appendix I: The King's College Hospital Protocol for Closure of the Labour Ward and Maternity Beds

Appendix II: The King's College Hospital Guidelines for Communication between Midwives, Junior Doctors and Consultants in Relation to Care of a Woman in Labour

Appendix III: Guidelines for Termination of Pregnancy Following Diagnosis of Fetal Abnormality or Intrauterine Death in the Second Trimester

Index