Best Practice In Labour And Delivery

In light of revised recommendations for intrapartum care, this updated edition reviews best practice in all aspects of labour and delivery.

An understanding of when and how to intervene is the key to good obstetric care. This textbook is an encompassing reference covering all the essential information relating to childbirth; it offers clear practical guidance on all aspects of labour and delivery. Written by well-known leading experts, each chapter offers a modern authoritative review of best practice. The evidence base decribed will help to optimize outcome through appropriate clinical management and justifiable intervention. Whilst this is an ideal textbook for those training and taking examinations in labour ward practice, it offers all those caring for the woman in labour a modern, evidence-based approach which will help them understand, recognize and deliver the best possible clinical care. The importance of team working, prioritizing, and the organization of maternity care receive appropriate emphasis with clear guidance and practical advice.

An understanding of when and how to intervene is the key to good obstetric care. This textbook is an encompassing reference covering all the essential information relating to childbirth; it offers clear practical guidance on all aspects of labour and delivery. Written by well-known leading experts, each chapter offers a modern authoritative review of best practice. The evidence base decribed will help to optimize outcome through appropriate clinical management and justifiable intervention. Whilst this is an ideal textbook for those training and taking examinations in labour ward practice, it offers all those caring for the woman in labour a modern, evidence-based approach which will help them understand, recognize and deliver the best possible clinical care. The importance of team working, prioritizing, and the organization of maternity care receive appropriate emphasis with clear guidance and practical advice.

Provides a concise discussion of all aspects of labor ward management. It is an evidence based book with full analysis of those areas where opinion is divided.

The main aim of this practical Handbookis to strengthen counselling and communication skills of skilled attendants (SAs) and other health providers, helping them to effectively discuss with women, families and communities the key issues surrounding pregnancy, childbirth, postpartum, postnatal and post-abortion care. Counselling for Maternal and Newborn Health Careis divided into three main sections. Part 1 is an introduction which describes the aims and objectives and the general layout of the Handbook. Part 2 describes the counselling process and outlines the six key steps to effective counselling. It explores the counselling context and factors that influence this context including the socio-economic, gender, and cultural environment. A series of guiding principles is introduced and specific counselling skills are outlined. Part 3 focuses on different maternal and newborn health topics, including general care in the home during pregnancy; birth and emergency planning; danger signs in pregnancy; post-abortion care; support during labor; postnatal care of the mother and newborn; family planning counselling; breastfeeding; women with HIV/AIDS; death and bereavement; women and violence; linking with the community. Each Session contains specific aims and objectives, clearly outlining the skills that will be developed and corresponding learning outcomes. Practical activities have been designed to encourage reflection, provoke discussions, build skills and ensure the local relevance of information. There is a review at the end of each session to ensure the SAs have understood the key points before they progress to subsequent sessions.

The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.

Optimizing outcomes for women in labor at the global level requires evidence-based guidance of health workers to improve care through appropriate patient selection and use of effective interventions. In this regard, the World Health Organization (WHO) published recommendations for induction of labor in 2011. The goal of the present guideline is to consolidate the guidance for effective interventions that are needed to reduce the global burden of prolonged labor and its consequences. The primary target audience includes health professionals responsible for developing national and local health protocols and policies, as well as obstetricians, midwives, nurses, general medical practitioners, managers of maternal and child health programs, and public health policy-makers in all settings.