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Gives step-by-step, evidence-based guidance on expert care and support during labor. Essential reading for obstetricians, midwives, nurses, and trainees.
List of contents
Foreword to the first edition; Preface; Dedication; Web-links; 1. General introduction; Part I. A Wake-up Call: 2. Medical excess in normal childbirth 3. Avoidable causes of failed labors; 4. Harmful birth care practices; 5. Destructive territorial disputes; 6. Self-sustaining mechanisms; Part II. Back to Basics: 7. Forgotten lessons from nature; 8. Elementary biophysics of birth; 9. Definitions and verbal precision; 10. First-stage labor revisited; 11. Second-stage labor redefined; Part III. Proactive Support of Labor: 12. Leading principles; 13. Nulliparous versus parous labor; 14. Diagnosis of labor; 15. Prevention of long labor; 16. Personal attention and support; 17. Amniotomy and oxytocin; 18. Pre-labor preparation; 19. Affective dimensions of labor pain; 20. Pain relief re-examined; 21. Dynamic dystocia unraveled; 22. Obstructed labor; 23. Curtailed use of induction; 24. Safe care of the fetus; 25. Organizational reforms; 26 Implementation and ongoing audit cycle; 27. External audit of procedures and outcomes; Index.
About the author
Paul Reuwer is Consultant Obstetrician-Gynecologist and Master of the Labor and Delivery Unit at St Elisabeth Hospital, Tilburg, The Netherlands.Hein Bruinse is Chairman of the Dutch National Perinatal Audit Foundation, The Netherlands.Arie Franx is Professor of Obstetrics and Chair of the Division of Woman and Baby, University Medical Centre Utrecht, The Netherlands.
Summary
Proactive Support of Labor provides the expertise for preventing long labors - the cause of traumatic birth experiences and the cesarean pandemic. Giving step-by-step, evidence-based guidance on expert care and support during labor, the fully updated revision of this work will be essential reading for obstetricians, midwives, nurses, and trainees.