Obstructed Labour

Obstructed Labour analyzes how the movement to legalize midwifery in Ontario reproduced racial inequality by excluding from practice hundreds of professional midwives from the global south. Global macroprocesses of power, institutional forms of exclusion, and interpersonal expressions of racism all play a part. Sheryl Nestel shows that unequal relations between women underlie the successful challenge to patriarchal medical authority mounted by provincial midwifery activists. This is a disquieting but fascinating counter-history of the re-emergence of midwifery.

Gives step-by-step, evidence-based guidance on expert care and support during labor. Essential reading for obstetricians, midwives, nurses, and trainees.

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.

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.

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

"The six modules aim to help skilled practitioners think critically and make effective decisions on the basis of solid knowledge and understanding of these complications. When using the modules for basic midwifery programmes, it is understood that students should already be competent in most of the basic skills such as measuring blood pressure, performing a vaginal examination, conducting a normal delivery and prevention of infection. The modules were released in 1996 and have now been updated in line with recent evidence and the WHO clinical guidelines. Each module can be taught independently of the other modules. It is however advisable to work through all of them."--World Health Organization website.

The Management Of Labour Is An Important Part Of Obstetric Practice For The Obstetrician And Midwife Alike. Although Labour Events Are Typically Not Complicated, Many Women Develop Problems Resulting In Maternal, Fetal Or Neonatal Morbidity And Mortality. Hypoxia, Trauma And Infection Are Inherent Risks. This Multi-Author Volume Draws On The Work Of Specialists Who Are Internationally Recognised And Have Contributed Extensively To Studies In Intrapartum And Post-Partum Management Including Key Areas Such As Intrapartum Fetal Monitoring, Prolonged Pregnancies, Preterm Births And Neonatal Resuscitation.

Intended to provide evidence-based recommendations to guide health care professionals in the management of women during pregnancy, childbirth and postpartum, and newborns, and the post abortion, including management of endemic deseases like malaria, HIV/AIDS, TB and anaemia. This edition has been updated to include recommendations from recently approved WHO guidelines relevant to maternal and perinatal health. These include pre-eclampsia & eclampsia; postpartum haemorrhage; postnatal care for the mother and baby; newborn resuscitation; prevention of mother-to- child transmission of HIV; HIV and infant feeding; malaria in pregnancy, interventions to improve preterm birth outcomes, tobacco use and second-hand exposure in pregnancy, post-partum depression, post-partum family planning and post abortion care.