By Vicky Chapman
The position of the midwife is various, worthwhile and hard. not just do midwives perform autonomously in a number of settings, yet they typically take the lead function in additional complicated childbirth events. This e-book is the 1st labour and delivery instruction manual written by means of skilled midwives and aimed particularly at practicing midwives dependent in hospitals, the group and birthing centres. It information the main up to date details referring to midwifery care and provides information on the right way to take care of tough and infrequently arguable events. in addition to this, The Midwife's Labour and delivery Hand learn more... disguise desk of Contents Preface 1 Labour 2 domestic beginning three Waterbirth four sluggish development in labour and malpresentations/malpositions in labour five Breech beginning 6 Labour and delivery after a prior caesarean part 7 Pre-eclampsia eight Preterm labour and beginning nine Maternal an infection round the time of beginning 10 Assisted supply: forceps and midwife ventouse supply eleven Haemorrhage and hypovolaemic surprise round the time of delivery 12 Childbirth emergencies thirteen lack of a toddler: stillbirth/perinatal dying 14 list protecting and litigation 15 Midwifery abilities to assist ladies take care of labour sixteen Vaginal examinations and synthetic rupture of the membranes 17 tracking the fetal middle expense in labour 18 Intrapartum blood checks 19 exam of the baby child at delivery 20 severe anomalies and issues within the infant 21 Neonatal and maternal resuscitation 22 Perineal trauma and suturing 23 Pharmacopoeia word list Appendix A Appendix B Appendix C Appendix D Appendix E Appendix F
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Additional resources for The midwife's labour and birth handbook
This involves the administration of an oxytocic injection following birth. Delivery of the placenta is performed by the midwife who guards the uterus with one hand and applies controlled traction to the cord with the other, typically several minutes after the administration of the oxytocic agent. 5. Midwifery care Benefits of a physiological third stage The woman should have had a physiologically `normal' labour and birth. 7 shows the indications and possible benefits of a physiological third stage.
Scott, P. (1994) Optimal fetal positioning: a midwifery approach to increasing the number of normal births. MIDIRS Midwifery Digest 4 (3), 283±6. Thompson, A. (1995) Maternal behaviour during spontaneous and directed pushing in the second stage of labour. Journal of Advanced Nursing 22 (6), 1027±34. UKCC (1998) Guidelines for Records and Record Keeping. United Kingdom Central Council for Nursing, Midwifery and Health Visiting, London. Walsh, D. (2000a) Evidence-based care. Part 3: Assessing women's progress in labour.
8 The evidence for mobilization and upright postures for labour and birth. Upright postures . Improved frequency, strength and length of contractions. A reduction in the use of oxytocin to augment labour with, on average, shorter labours. Reduced discomfort and pain experienced in upright postures with a reduced need for epidurals and narcotic analgesia. Reduction in episiotomies and a small reduction in assisted deliveries. Improved oxygen supply to the baby/fewer abnormal heart rate patterns.