Labor and Delivery Care: A Practical Guide

The management of labor and delivery requires skilled physical diagnosis to make the most refined diagnostic judgments. It demands the synthesis of several simultaneously acquired lines of diagnostic evidence to balance the risks of intervention and watchful expectancy. During labor, fetal information must be constantly integrated with facts about the mother to determine the probability that a normal vaginal delivery will ensue or whether pharmacologic or surgical intervention will be necessary to optimize safety.
Fundamental clinical skills provide the bedrock on which technology can be best applied. Labor and Delivery Care: A Practical Guide supports and reinforces the acquisition of the practical obstetric skills needed for aiding a successful birth.
Beginning with the most important element of successful labor care, communicating with the patient, the authors guide you through normal delivery routines and examination techniques. They then address the best approaches to the full range of challenges that can arise during labor and delivery. Throughout, the 15 chapters provide concise practical guidance with:algorithmic decision treesclinical management tipsdetailed drawings
Labor and Delivery Care: A Practical Guide provides a thorough tour–de–force of the practical obstetric skills needed for best and safest practice based on clinical experience and evidence.

Spis treści:
Preface, vii
How to Use This Book, xi
1 Communicating Effectively With Your Patient, 1
2 Examining Your Patient, 13
3 Normal Labor and Delivery, 32
4 Evaluating the Pelvis, 51
5 Diagnosing and Treating Dysfunctional Labor, 81
6 Managing the Third Stage, 111
7 Dealing with Malpositions and Defl exed Attitudes, 128
8 Managing Breech Presentation and Transverse Lie, 151
9 Avoiding and Managing Birth Canal Trauma, 182
10 Inducing Labor, 204
11 Cesarean Delivery , 227
12 Delivering Twins, 250
13 Managing Shoulder Dystocia, 270
14 Using Forceps and the Vacuum Extractor, 290
15 Obstetric Case Studies, 313
Answers to Obstetric Case Studies, 339
Glossary, 355
Index, 383

Nota biograficzna:
Wayne R. Cohen, MD, Professor of Obstetrics & Gynecology and Women’s Health, Albert Einstein College of Medicine, New York, NY, USA
Emanuel A. Friedman, MD, ScD, Emeritus Professor of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, MA, USA

Okładka tylna:
The management of labor and delivery requires skilled physical diagnosis to make the most refined diagnostic judgments. It demands the synthesis of several simultaneously acquired lines of diagnostic evidence to balance the risks of intervention and watchful expectancy. During labor, fetal information must be constantly integrated with facts about the mother to determine the probability that a normal vaginal delivery will ensue or whether pharmacologic or surgical intervention will be necessary to optimize safety.
Fundamental clinical skills provide the bedrock on which technology can be best applied. Labor and Delivery Care: A Practical Guide supports and reinforces the acquisition of the practical obstetric skills needed for aiding a successful birth.
Beginning with the most important element of successful labor care, communicating with the patient, the authors guide you through normal delivery routines and examination techniques. They then address the best approaches to the full range of challenges that can arise during labor and delivery. Throughout, the 15 chapters provide concise practical guidance with:algorithmic decision treesclinical management tipsdetailed drawings
Labor and Delivery Care: A Practical Guide provides a thorough tour–de–force of the practical obstetric skill s needed for best and safest practice based on clinical experience and evidence.