分娩主動(dòng)治療

內(nèi)容概要

　　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.

書籍目錄

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

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