By Leroy Edozien
Preface Acknowledgements Abbreviations word list Bleep/crash calls half I: method of care communique Documentation Admission to, and discharge domestic from, the supply suite studying from medical incidents move of care among pros Reviewing what occurred extra analyzing for half I half II: basic and low-risk labour Vaginal exam Intravenous cannulation administration of ordinary labour Prelabour Read more...
summary: Preface Acknowledgements Abbreviations thesaurus Bleep/crash calls half I: method of care communique Documentation Admission to, and discharge domestic from, the supply suite studying from scientific incidents move of care among pros Reviewing what occurred extra examining for half I half II: general and low-risk labour Vaginal exam Intravenous cannulation administration of ordinary labour Prelabour rupture of membranes at time period (37-42 weeks) administration of the 1st degree of labour Fetal tracking Fetal scalp blood sampling Augmentation of labour Cord-blood sampling Epidural ana
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Additional resources for The Labour Ward Handbook, second edition
Example text
If hypotension occurs at any stage, treat as outlined under ‘Hypotension’ on p. 48 and call the anaesthetist.
If PROM is confirmed, the woman should be advised that: • the risk of serious neonatal infection is 1 in 100 (compared with 1 in 200 for women with intact membranes) • 6 of every 10 women with PROM at term will go into labour within 24 hours • induction of labour is appropriate approximately 24 hours after rupture of the membranes The mother may be observed on the antenatal ward if PROM is confirmed and the following criteria are met: • • • • no meconium-stained amniotic fluid cephalic presentation, well-applied to the cervix normal maternal observations <24 hours have elapsed since rupture of the membranes If any of these criteria do not apply then the obstetrician on call should be informed.
PART II: NORMAL AND LOW-RISK LABOUR 13 Fetal scalp blood sampling If the CTG is suggestive of fetal distress then FBS from the scalp should always be undertaken before proceeding to CS, unless it is technically not possible to do so. ® Explain the procedure to the woman and obtain consent. ® The cervix must be at least 3 cm dilated and the presenting part ® ® ® should be no more than 2 cm above the plane of the ischial spines. The patient should be in the left lateral position or in the lithotomy position with a wedge.