The Labour Ward Handbook, second edition: 2nd Edition (Paperback) book cover

The Labour Ward Handbook, second edition

2nd Edition

By Leroy Edozien, Leroy Edozien

CRC Press

296 pages

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Paperback: 9781853158100
pub: 2010-03-24
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The Labour Ward Handbook, second edition, is a succinct manual that provides detailed clinical practice guidelines for the care of women in labour. Dealing more with the practice than the theory of labour ward management, this book is designed to be a ready guide for use in the delivery suite by the busy clinician.

The format has been specifically designed to make retrieval of information quick and simple. Relevant pages can be reproduced and filed in the patient's case-notes thus serving not only as an aide memoire and checklist, but also as a supplementary record of the care provided.

The Labour Ward Handbook is essential reading for practising obstetricians of all grades, midwives, labour ward managers, and all other medical professionals who are interested in the conduct of labour and risk management in the delivery suite.

Key Features

  • Checklists and bullet points for quick and straightforward guidence
  • 'Further reading' at the end of each section
  • Compliant with RCOG and NICE guidelines
  • Builds on a very popular first edition

If you work on the labour ward, this is the book to have with you at all times.


5 Stars: A Concise Practical Guide
As a student midwife due to qualify in March, I have purchased this book in preparation for my career in midwifery. It is a consice practical guide that gives detailed instructions on how to manage clients on labour wards. This book addresses all aspects of care including communication and risk management. RCOG guidelines relating to care of women in labour, NICE guidelines on IOL and fetal monitoring, CNST standards for maternity Care and Cochrane reviews are all used in this book. I would recommend this book to anyone working within the midwifery profession.

Amazon customer review, Jan 2004

5 Stars: Good book

Amazon customer review, Jun 2010

5 Stars: Great quick reference book
This book is so useful on the ward. It's easy and quick to look things up as it uses very clear text with bold print and plenty of bullet points. Guidelines are taken from NICE, it's evidence-based and extremely relevant for practising in the NHS. As a third year Midwifery student I find it invaluable as a quick reference - it's really helpful for plans of care, tests to carry out etc, especially for more complicated cases. Midwives, students and doctors alike have commented positively on it at work. It's a great book if you've studied the theory, but just want a practical guide to applying it on the ward or if you're just starting out and need a few prompts.

Amazon customer review, Jul 10

"It's a really good idea to provide a generic set of guidelines applicable to all labour ward settings: it's very easy to flick quickly to relevant content. This comprehensive guide to the labour ward will be a useful addition to any unit."

BMA Medical Book Awards 2010

Table of Contents





Bleep/crash calls

PART I: Approach to care



Admission to, and discharge home from, the delivery suite

Learning from clinical incidents

Transfer of care between professionals

Reviewing what happened

Further reading for Part I

PART II: Normal and low-risk labour

Vaginal examination

Intravenous cannulation

Management of normal labour

Prelabour rupture of membranes at term (37-42 weeks)

Management of the first stage of labour

Fetal monitoring

Fetal scalp blood sampling

Augmentation of labour

Cord-blood sampling

Epidural analgesia in labour

Management of the second stage of labour

Criteria for paediatric attendance at delivery

Management of the third stage of labour

Immediate postpartum care

Care of the newborn

Meconium-stained amniotic fluid

Neonatal resuscitation

Babies born before arrival at hospital


The woman with a history of childhood sexual abuse

Use of birthing pool

Further reading for Part II

PART III: Abnormal and high-risk labour

Powers, passenger, passage

Caesarean section

Recovery of obstetric patients

High-dependency care

Failed intubation drill

Instrumental delivery

Trial of vaginal delivery after a previous caesarean section

Induction of labour

Antenatal corticosteroid therapy

Preterm prelabour rupture of membranes

Preterm uterine contractions

Deliveries at the lower margin of viability

Multiple pregnancy

Abnormal lie in labour

Occipitoposterior position


Breech presentation

External cephalic version

The woman with genital mutilation

The obese woman in labour

Perineal tear

Medical conditions

Heart disease in labour

Peripartum cardiomyopathy



Diabetes mellitus

Asthma (acute exacerbation in labour)


Systemic lupus erythematosus

Other connective tissue disorders

Haemorrhage and haematological disorders

The rhesus-negative woman

Thromboembolism prophylaxis

Acute venous thromboembolism and pulmonary embolism

Major haemoglobinopathy

Inherited coagulation disorders: haemophilia and von Willebrand's disease

Immune thrombocytopenic purpura


Gestational thrombocytopenia

Antepartum haemorrhage

Major placenta praevia

Retained placenta

Postpartum haemorrhage

Disseminated intravascular coagulopathy

Delivery of the woman at known risk of haemorrhage

Management of the woman who declines blood transfusion


Prophylactic antibiotics

Intrapartum pyrexia

Hepatitis B and C

Intrapartum antibiotic prophylaxis for group B streptococci

Genital herpes

Human immunodeficiency virus

Other obstetric emergencies

Cervical tear and paravaginal haematoma

Rupture of the uterus

Shoulder dystocia

Cord prolapse


Inverted uterus

Amniotic fluid embolism

Sudden maternal collapse

Latex allergy

Stillbirths and congenital abnormalities

Checklist for fetal loss at 13-23 weeks

Intrauterine fetal demise

Mid-trimester termination of pregnancy for fetal abnormality

Protocol for medical termination of mid-trimester pregnancy

Further reading for Part III


Appendix A: Guidance for obtaining consent to treatment

Appendix B: Standards for administering blood transfusion


About the Authors

Consultant Obstetrician and Gynaecologist, St Mary's Hospital, Manchester, UK; Honorary Senior Lecturer, Maternal and Fetal Health Research Centre, The University of Manchester, Manchester, UK

Subject Categories

BISAC Subject Codes/Headings:
MEDICAL / Gynecology & Obstetrics
MEDICAL / Perinatology & Neonatology