Based on the protocols in use at the highly acclaimed King's College Hospital in London, Clinical Protocols in Labour presents a consensus of the best and most appropriate techniques for standard delivery and uncommon clinical scenarios. Each chapter is written as a stand-alone unit making the information easy to find. Coverage ranges from a general approach to care, normal labour, and care of the baby to specific issues such as eclampsia and pre-eclampsia, uterine rupture, and postpartum bleeding. In addition, the book includes protocols for emergency closure of the labour ward, communication among members of the labour team, and more. A compact, authoritative volume, Clinical Protocols in Labour provides practical templates for the perinatal management of women and their babies during labour and delivery.

    The Approach to Care
    Domino/GPO and Home Deliveries
    Normal Labour
    The Unbooked Woman Presenting to the Labour Ward
    Pain Relief in Labour
    Use of the Birth Pool for Labour and Delivery
    Care of the Baby
    Hypoglycaemia in the Newborn
    Breastfeeding on Labour Ward and Skin-to-Skin Contact
    The Prevention of Thromboembolism
    Induction, Stimulation and Augmentation of Labour
    Caesarean Section
    Vaginal Instrumental Deliveries
    Cardiotocograph Interpretation and Fetal Blood Sampling
    Preterm Labour
    Prevention and Treatment of Neonatal Group B Streptococcal Infection
    Eclampsia and Pre-Eclampsia
    Management of Maternal Diabetes in Labour
    Infection Control Precautions with Particular Reference to Women with Blood-Borne Pathogens (Hepatitis B or HIV)
    Management of Shoulder Dystocia
    Breech Delivery
    Twin Delivery
    Prolapse of the Umbilical Cord
    Uterine Rupture
    Management of Postpartum Haemorrhage
    Guidelines for the Management of Massive Obstetric Haemorrhage
    Rescue Cerclage
    Female Genital Mutilation
    Overwhelming Sepsis
    Failed Intubation Drill
    Refusal to Receive Blood Products or Undergo Medical Intervention
    Sickle Cell Disease
    Peripartum Collapse
    Elective Delivery of the Fetus Affected by Severe Red Cell Sensitization (e.g. Rhesus Diseases)
    Appendix I: The King's College Hospital Protocol for Closure of the Labour Ward and Maternity Beds
    Appendix II: The King's College Hospital Guidelines for Communication between Midwives, Junior Doctors and Consultants in Relation to Care of a Woman in Labour
    Appendix III: Guidelines for Termination of Pregnancy Following Diagnosis of Fetal Abnormality or Intrauterine Death in the Second Trimester


    Michael S. Marsh (Author) , Janet M. Rennie (King's College Hospital, London, UK) (Author) , Phillipa A. Groves (King's College Hospital, London, UK) (Author)