Clinical Protocols in Labour

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.

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

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Clinical Protocols in Labour

Summary

Table of Contents

Supplemental Materials