David Liu, Susan R. Sloan's Labour Ward Manual PDF

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By David Liu, Susan R. Sloan

An intensive revision of this well-illustrated, useful handbook brings it modern with vital provider and perform alterations. overlaying all facets of work administration, the emphasis continues to be on basic, secure deliveries in group devices or hospitals.

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Example text

2). Fits Pregnancy can aggravate an existing tendency to fits (epilepsy) or convulsions can complicate preeclampsia (eclampsia). The presence of hypertension, proteinuria and generalized oedema and past history of epilepsy are important points that need to be considered in this situation. Two-thirds of cases of eclampsia occur before and a third after delivery, sometimes 3 or more days post partum (12%). Eclampsia Guidelines for management • Stop/prevent fitting. Give intravenous magnesium sulphate (4 g over 15 min).

During labour intrauterine pressure increases to levels of 60-80 mmHg. Contractions of this intensity are still detectable for 48 hours post partum but the frequency diminishes after 12 hours. 2 (a) Graph of uterine activity with stable phase (plateau) for individual mother, (b) Montevideo unit = intensity (amplitude of recorded contraction) x contractions per 10 minutes. The Alexandra unit, a refinement, takes into consideration duration of the contraction. 3 Intrauterine pressure measured by a cathetertipped pressure transducer placed above presenting part is less affected by mother's movement.

NHMRC 1996) directives and surveys indicate that mothers and their partners expect quality and satisfaction in addition to safe delivery. There is evidence to show the following contribute to perceived quality and satisfaction: • Rapport and satisfaction during antenatal care. • A welcoming attitude at the time of admission. • There is good communication. Mothers and partners are kept well informed at all stages and encouraged to participate in care decisions. • Provide reassurance, encouragement and good pain relief.

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