3rd Edition

The Labour Ward Handbook

By Leroy Edozien Copyright 2023
    336 Pages 14 B/W Illustrations
    by CRC Press

    336 Pages 14 B/W Illustrations
    by CRC Press

    This succinct manual provides detailed clinical practice guidelines for the care of women in labour, this is designed to be a ready guide for use in the delivery suite by the busy clinician. The third edition has been updated to include new developments in clinical practice and governance and new guidelines. So far as is possible, the differences in care scenarios internationally have been addressed to provide a reliable guide to safe delivery.

    Key Features

    • Provides detailed clinical practice guidelines for the care of women in labour
    • Offers a ready guide for use in the delivery suite by the busy obstetric clinician and all members of the team
    • Focuses on the clinical relevance of the problem points arising.



    About the Author



    Bleep/crash calls

    Part I: Approach to care

    1. The biopsychosocial approach to care of the woman in labour

    2. Communication between care providers

    3. Documentation

    4. A dmission to, and discharge home from, the delivery suite

    5. Learning from clinical incidents

    6. T ransfer of care between professionals

    7. Reviewing what happened

    Part II: Normal and Low-Risk Labour

    8. Vaginal examination

    9. Intravenous cannulation

    10. Management of normal labour

    11. Prelabour rupture of membranes at term (37–42 weeks)

    12. Management of the first stage of labour

    13. Fetal monitoring

    14. Fetal scalp blood sampling

    15. Augmentation of labour

    16. Cord-blood sampling

    17. Epidural analgesia in labour

    18. Management of the second stage of labour

    19. Criteria for paediatric attendance at delivery

    20. Management of the third stage of labour

    21. Immediate postpartum care

    22. Care of the newborn

    23. Meconium-stained amniotic fluid

    24. Neonatal resuscitation

    25. Babies born before arrival at hospital

    26. Episiotomy

    27. The woman with a history of childhood sexual abuse

    28. Use of birthing pool

    Part III: Abnormal and high-risk labour

    SECTION 1. Powers, passenger, passage

    29. Caesarean section

    30. Recovery of obstetric patients

    31. High-dependency care

    32. Failed intubation drill

    33. Instrumental delivery

    34. Trial of vaginal delivery after a previous caesarean section

    35. Induction of labour

    36. Antenatal corticosteroid therapy

    37. Preterm prelabour rupture of membranes

    38. Preterm uterine contractions

    39. Deliveries at the lower margin of viability

    40. Multiple pregnancy

    41. Abnormal lie in labour

    42. Occipito-posterior position

    43. Malpresentation

    44. Breech presentation

    45. External cephalic version

    46. The woman with genital cutting

    47. The obese woman in labour

    48. Perineal tear

    SECTION 2. Medical conditions

    49. Heart disease in labour

    50. Peripartum cardiomyopathy

    51. Pre-eclampsia

    52. Eclampsia

    53. Diabetes mellitus

    54. Asthma (acute exacerbation in labour)

    55. Epilepsy

    56. Systemic lupus erythematosus

    57. Connective tissue disorders

    SECTION 3. Haemorrhage and haematological disorders

    58. The rhesus-negative woman

    59. Thromboembolism prophylaxis

    60. Acute venous thromboembolism and pulmonary embolism

    61. Major haemoglobinopathy

    62. Inherited coagulation disorders: Haemophilia and von Willebrand disease

    63. Immune thrombocytopenic purpura

    64. Thrombophilia

    65. Gestational thrombocytopenia

    66. Antepartum haemorrhage

    67. Major placenta praevia

    68. Placenta accreta spectrum

    69. Retained placenta

    70. Postpartum haemorrhage

    71. Disseminated intravascular coagulopathy

    72. Delivery of the woman at known risk of haemorrhage

    73. Standards for administering blood transfusion

    74. Management of the woman who declines blood transfusion

    SECTION 4. Infection

    75. Prophylactic antibiotics

    76. Intrapartum sepsis

    77. Hepatitis B and C

    78. Intrapartum antibiotic prophylaxis for Group B streptococci

    79. Genital herpes

    80. Human immunodeficiency virus

    81. The woman with COVID-19

    SECTION 5. Other obstetric emergencies

    82. Paravaginal haematoma and cervical tear

    83. Rupture of the uterus

    84. Shoulder dystocia

    85. Cord prolapse

    86. Anaphylaxis

    87. Inverted uterus

    88. Amniotic fluid embolism

    89. Sudden maternal collapse

    90. Latex allergy

    SECTION 6. Stillbirths and congenital abnormalities

    91. Checklist for fetal loss at 13–23 weeks

    92. Intrauterine fetal demise

    93. Mid-trimester termination of pregnancy for fetal abnormality




    Dr Edozien has been Former Consultant in Obstetrics and Gynaecology at St Mary’s Hospital, Manchester, UK and Professor & Director of Institute of Advanced Clinical Sciences Education at University of Medical Sciences, Ondo City, Nigeria.