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E-book: Management of Normal and High-Risk Labour during Childbirth [Taylor & Francis e-book]

Edited by (JIPMER, Puducherry, India)
  • Format: 206 pages, 4 Tables, black and white; 33 Line drawings, color; 5 Halftones, color; 1 Halftones, black and white; 38 Illustrations, color; 1 Illustrations, black and white
  • Pub. Date: 30-May-2022
  • Publisher: CRC Press
  • ISBN-13: 9781003034360
  • Taylor & Francis e-book
  • Price: 193,88 €*
  • * this price gives unlimited concurrent access for unlimited time
  • Regular price: 276,97 €
  • Save 30%
  • Format: 206 pages, 4 Tables, black and white; 33 Line drawings, color; 5 Halftones, color; 1 Halftones, black and white; 38 Illustrations, color; 1 Illustrations, black and white
  • Pub. Date: 30-May-2022
  • Publisher: CRC Press
  • ISBN-13: 9781003034360
This book deals with the management of labour, guiding the readers to recognize problems by keen monitoring, based on anatomical and physiological understanding of labour. In this era of technology, this book revives the fading art of identification of clinical signs and symptoms. The chapters are well-structured, covering different aspects from suspicion to identification of the problems by recognizing subtle warning signals by the fetus and the uterus. Operative deliveries and common obstetric emergencies with their appropriate management are also covered. It provides practical points to prevent, anticipate, recognize, and manage problems during labour.

Key Features











Helps to identify clinical signs and symptoms that infuses the reader with confidence to identify and manage abnormal situations during labour and childbirth through the feel of their fingers and awakened understanding.





A must have book for all postgraduate trainees and practitioners of obstetrics, eager to learn the fundamentals of labour management.





Features illustrated cases helpful in learning management of normal labour and pick abnormal labour, at the earliest possible deviation from normalcy.
Preface xi
Acknowledgements xiii
Editor xv
Contributors xvii
Chapter 1 Anatomy of the Pelvis
1(14)
Vandana Mehta
Changes in Pelvis during Evolution
1(2)
Changes in the Pelvis from Infancy to Adulthood
3(1)
True Pelvis: Joints and Ligaments
4(1)
Greater/False Pelvis
5(1)
Lesser Pelvis
5(1)
Pelvic Floor
6(1)
Pelvic Joints and Ligaments
7(3)
Types of Pelvis
10(1)
Sexual Differences in Pelvis
11(1)
Differences in Shape of Female and Male Pelvis
12(1)
Pelvic Mechanism
12(1)
References
13(2)
Chapter 2 Understanding the Maternal Passage
15(12)
Gowri Dorairajan
Introduction
15(1)
Clinical Application and Diameter of the Pelvis
15(4)
Basic Types of Pelvis
19(3)
Clinical Pelvimetry
22(3)
Suggested Reading
25(2)
Chapter 3 Understanding the Passenger
27(4)
Gowri Dorairajan
Focusing on the Vault
27(1)
Important Landmarks
28(1)
Diameters of the Fetal Skull
29(1)
Summary of the Diameters of Engagement of the Fetus
29(2)
Chapter 4 Stages of Labour
31(6)
Gowri Dorairajan
First Stage of Labour
31(6)
Chapter 5 Understanding the Power: The Uterine Contractions
37(4)
Gowri Dorairajan
Normal Uterine Contractions
37(2)
Formation of the Uterine Segments
39(1)
References
40(1)
Chapter 6 Understanding the Fetal Journey
41(10)
Gowri Dorairajan
Important Definitions and Terminologies
41(3)
Understanding Fetal Position by Abdominal Examination
44(2)
Mechanism of Labour
46(4)
References
50(1)
Chapter 7 Management of Labour
51(18)
Gowri Dorairajan
Assessment of a Woman in Labour
52(2)
The Management of the First Stage of Labour
54(1)
Monitoring of the First Stage of Labour
55(4)
Changing Concepts in the Definition of Active Labour
59(1)
Second Stage of Labour
60(3)
Management of the Third Stage of Labour
63(1)
Episiotomy
64(3)
References
67(2)
Chapter 8 Obstetric Analgesia
69(8)
Chitra Chatterji
Atish Pal
Introduction
69(1)
History
69(1)
Labour Pain and Pain Pathway
70(1)
Techniques of Labour Analgesia
71(2)
Neuraxial Techniques (Epidural and Combined Spinal Epidural)
73(3)
Conclusion
76(1)
Chapter 9 Intrapartum Fetal Surveillance
77(10)
Anish Keepanasseril
Fetal Physiology in Interpretation of the Cardiotocography Findings
77(1)
Risk Factors of Increased Intrapartum Fetal Compromise
78(1)
Methods of Intrapartum Surveillance
78(5)
Intrauterine Resuscitation
83(1)
Adjunctive Technologies for Intrapartum Monitoring
83(2)
References
85(2)
Chapter 10 Understanding the Warning Signal of the Uterus and the Fetus
87(8)
Gowri Dorairajan
Predisposing Factors
87(2)
Clinical Features and Identification of Abnormal Labour
89(1)
Moulding
90(1)
Caput Succidenum
91(1)
Synclitism and Asynclitism
91(2)
References
93(2)
Chapter 11 Abnormal Uterine Contractions
95(10)
Gowri Dorairajan
Classification of Abnormal Uterine Contractions
95(2)
Normal Polarity
97(2)
Oxytocin
99(1)
Timeline Definitions for Abnormal Labour
100(1)
Management Goals of Abnormal Labour
101(2)
Complications of Abnormal Labour: Abnormal Labour Can Result in Certain Complications Enumerated Below
103(1)
References
103(2)
Chapter 12 Cephalopelvic Disproportion and Contracted Pelvis
105(10)
Gowri Dorairajan
Clinical Identification Tests
105(1)
External Pelvimetry
106(1)
X-ray Pelvimetry
107(1)
Role of CT Scan and MRI
107(1)
Contracted Pelvis
107(1)
Causes for Contracted Pelvis
108(3)
Trial of Labour
111(1)
Management of Trial Labour
111(3)
References
114(1)
Chapter 13 Abnormalities of Second Stage
115(14)
Gowri Dorairajan
Arrest in the Second Stage of Labour
115(6)
Obstructed Labour and Bandl's Ring
121(2)
Shoulder Dystocia
123(3)
Delivering Multiple Pregnancies
126(2)
Reference
128(1)
Chapter 14 Forceps Delivery
129(8)
Gowri Dorairajan
Parts of the Forceps
129(2)
Prerequisites for Forceps Application
131(1)
Types of Application
132(1)
The Procedure
132(3)
Forceps Rotation and Extraction
135(1)
References
135(2)
Chapter 15 Ventouse Delivery
137(6)
Gowri Dorairajan
The Apparatus for Ventouse Delivery
137(2)
Mechanism of Vacuum Assistance
139(1)
Application and Pull
140(1)
Complications
141(1)
Difference in Vacuum and Forceps-Assisted Deliveries
142(1)
Chapter 16 Caesarean Section
143(14)
Gowri Dorairajan
Indications
143(1)
Preoperative Preparations
144(1)
Skin Incision and Steps
145(2)
Difficult Caesarean Section: How to Bail Oneself Out
147(5)
Troubled Situations
152(1)
Elytrotomy
153(1)
Postoperative Care
154(1)
References
155(2)
Chapter 17 Post-Partum Haemorrhage
157(4)
Gowri Dorairajan
Definition
157(1)
Clinical Identification
157(1)
Classification
158(1)
Predisposing Factors
158(1)
Prevention of PPH
159(1)
References
160(1)
Chapter 18 Clinical Approach to Case of PPH
161(8)
Gowri Dorairajan
Effective Resuscitation
161(2)
Monitoring after the Initial Management
163(1)
Definitive Management
164(3)
References
167(2)
Chapter 19 Specific Management of PPH
169(12)
Gowri Dorairajan
Management of Atonic Postpartum Haemorrhage
169(4)
Management of Traumatic PPH
173(1)
Management of Retained Products
174(1)
Secondary Postpartum Haemorrhage
175(1)
Massive Blood Transfusion
176(1)
Coagulopathy and Its Management
177(1)
References
178(1)
Further Reading
179(2)
Index 181
Dr Gowri Dorairajan is Professor and Head of a unit at JIPMER, Puducherry, an autonomous National Importance Institution. She is an acclaimed teacher and clinician. She has more than 24 years of teaching experience. In addition, she has vast clinical experience and has worked in many government hospitals with high turnover and deliveries. She did her postgraduation from Lady Hardinge Medical College, New Delhi, from 1992 to 1995 and vast exposure to various obstetric emergencies and the management of women in labour. She is working as a professor in JIPMER since June 2013.