Intrapartum Care
An advanced-midwife’s guide to labour and delivery
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- Acknowledgements
- Introduction
- 1 Monitoring the condition of the mother during the first stage of labour
- 2 Monitoring the condition of the fetus during the first stage of labour
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3 Monitoring and managing the first stage of labour
- Objectives
- The diagnosis of labour
- The two phases of the first stage of labour
- Monitoring of the first stage of labour
- Management of a patient in the latent phase of the first stage of labour
- Management of a patient in the active phase of the first stage of labour
- Poor progress in the active phase of the first stage of labour
- Cephalopelvic disproportion
- Inadequate uterine action
- The referral of patients with poor progress during the active phase of the first stage of labour
- Prolapse of the umbilical cord
- Women living with HIV
- Case studies
- Skills: Examination of the abdomen in labour
- Skills: Vaginal examination in labour
- Skills: Recording observations on the partogram
- 4 The second stage of labour
- Skills: Performing and repairing an episiotomy
- 5 The third stage of labour
- Skills: Inserting and using intra-uterine balloon tamponade to treat postpartum haemorrhage
- 6 Managing pain during labour
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7 The puerperium
- Objectives
- The normal puerperium
- Management of the puerperium
- The six week postnatal visit
- Puerperal pyrexia
- Genital tract infection
- Urinary tract infections
- Thrombophlebitis
- Respiratory tract infection
- Puerperal psychiatric disorders
- Secondary postpartum haemorrhage
- Self-monitoring
- HIV positive mothers
- Case studies
- 8 Family planning after pregnancy
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