分娩主动治疗
2003-12
北京科文图书业信息技术有限公司
O'Driscoll, K.; Meagher, D.; Robson, Michael
223
This manual encompasses a comprehensive approach to the management of labour. Based on the simple proposition that effective uterine action is the key to normal delivery, Active Management of Labour covers all aspects of delivery for nulliparous women with vertex presentation and single foetus. This is an accessible and practical guide for obstetricians and midwives as well as anaesthetists and the auxiliary staff of maternity units. Encourages an active interest in labour by all professional staff Emphasises the importance of constant personal attention and good communication in labour Discusses in detail the need to distinguish between: ——first and subsequent births. ——single cephalic and all other pregnancies ——induction and acceleration of labour. Fosters the development of a team. spirit between midwife and obstetrician. Demonstrates how good labour ward organisation can improve care. Proves the importance of audit in ensuring quality of care. Updated chapters on dystocia and caesarean section. New key points summary at the end of each chapter. Updated review of clinical outcomes at the National Maternity Hospital.
Preface to the Fourth Edition Preface to the Third EditionPreface to the First Edition IntroductionSection I: Text 1 Nulliparous v parous women 2 Induction v acceleration 3 Malpresentations, malformation,twins 4 Duration of labour 5 Diagnosis of labour 6 Progress: first stage 7 Progress: second stage 8 Acceleration of slow labour 9 Oxytocin in labour 10 Normal and abnormal labour(dystocia) 11 Inefficient uterine action 12 Cephalopelvic disproportion 13 Occipitoposterior position 14 Trauma 15 Pain 16 Antenatal preparation 17 Analgesic drugs 18 Epidural anaesthesia 19 Personal attention 20 Role of the doctor 21 Role ofthe nurse/midwife 22 Role of the mother 23 Care of the fetus 24 Induction 25 Organization 26 Cervix in labour 27 Caesarean section rates 28 Cerebral palsy Section II: Visual Records Nulliparous labour 1 Nulliparous labour 2 Duration of labour 3 Diagnosis of labour 4 Progress in labour 5 Care of'the fetus 6 Oxytocin 7 Analgesia 8 Method of deliver and additional items 9 Normal labour (1) 10 Normal labour (2) 11 Normal labour (3) 12 Abnormal labour: slow progress(I) 13 Abnormal labour: slow progress(2) 14 Abnormal labour: slow progress(3) 15 Abnormal labour: secondary arrest(1) 16 Abnormal labour: secondary arrest(2) 17 Method of treatment: artificial rupture of membranes 18 Method of treatment: oxytocin infusion (I) 19 Method of treatment: ox),tocin infusion (2) 20 Failure to respond to treatment:error in diagnosis 21 Failure to respond to treatment:membranes intact 22 Failure to respond to treatment:hesitant use of oxytocin 23 Failure to respond to treatment:cephalopelvic disproportion
