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.

IntroductionThe Approach to CareDomino/GPO and Home DeliveriesNormal LabourThe Unbooked Woman Presenting to the Labour WardPain Relief in LabourUse of the Birth Pool for Labour and DeliveryCare of the BabyHypoglycaemia in the NewbornBreastfeeding on Labour Ward and Skin-to-Skin ContactThe Prevention of ThromboembolismInduction, Stimulation and Augmentation of LabourCaesarean SectionVaginal Instrumental DeliveriesCardiotocograph Interpretation and Fetal Blood SamplingPreterm LabourPrevention and Treatment of Neonatal Group B Streptococcal InfectionEclampsia and Pre-EclampsiaManagement of Maternal Diabetes in LabourInfection Control Precautions with Particular Reference to Women with Blood-Borne Pathogens (Hepatitis B or HIV)Management of Shoulder DystociaBreech DeliveryTwin DeliveryProlapse of the Umbilical CordUterine RuptureManagement of Postpartum HaemorrhageGuidelines for the Management of Massive Obstetric HaemorrhageRescue CerclageFemale Genital MutilationOverwhelming SepsisFailed Intubation DrillRefusal to Receive Blood Products or Undergo Medical InterventionSickle Cell DiseasePeripartum CollapseElective 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 BedsAppendix II: The King's College Hospital Guidelines for Communication between Midwives, Junior Doctors and Consultants in Relation to Care of a Woman in LabourAppendix III: Guidelines for Termination of Pregnancy Following Diagnosis of Fetal Abnormality or Intrauterine Death in the Second TrimesterIndex