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The updated recommendations in this document on the timing of induction of labour supersede the previous WHO recommendations on this topic, in the 2018 publication WHO recommendations: induction of labour at or beyond term.
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Optimizing outcomes for women in labor at the global level requires evidence-based guidance of health workers to improve care through appropriate patient selection and use of effective interventions. In this regard, the World Health Organization (WHO) published recommendations for induction of labor in 2011. The goal of the present guideline is to consolidate the guidance for effective interventions that are needed to reduce the global burden of prolonged labor and its consequences. The primary target audience includes health professionals responsible for developing national and local health protocols and policies, as well as obstetricians, midwives, nurses, general medical practitioners, managers of maternal and child health programs, and public health policy-makers in all settings.
When is it better to induce labour than to let a woman's body or baby decide the best time for birth? What are the pros and cons of waiting and of being induced? What about after the due date? When the baby is thought to be bigger than average? When the woman is older? If she had IVF? Or when her waters have broken earlier than usual? Induction of labour is an increasingly common recommendation and more and more women find themselves having to decide whether to let their body and baby go into labour spontaneously or agree to medical intervention. This book explains the process of induction of labour and shares information from research studies, debates and women's, midwives' and doctors' experiences to help women and families become more informed and make the decision that is right for them.
This book is meant to bridge the gap between small handbooks that do not contain enough material to understand why you are doing certain things and large textbooks that lack the practical information you need for how to do specific procedures, write notes, orders, and dictations. After reading it, you will be prepared to care for an obstetric patient from the moment they arrive in triage until the time they are discharged. You will understand not only how to perform both simple and complicated procedures, but also why they are necessary, and you will have the answers to the most common pimp questions that are asked of students and residents. The most up-to-date literature and evidence-based recommendations have been used to create simple treatment algorithms for the most common issues you will face, and numerous illustrations are included for clarity as well. Because of its focus, this book is also valuable resource for staff physicians who need an updated text on current obstetric care as well as for those who regularly interact with and teach medical students and residents.
This manual encompasses a comprehensive approach to the management of labour. Based on the simple proposition that effective uterine action is the key to normal delivery, Active Management of Labour covers all aspects of delivery for nulliparous women with vertex presentation and single foetus. This is an accessible and practical guide for obstetricians and midwives as well as anaesthetists and the auxiliary staff of maternity units. Encourages an active interest in labour by all professional staff Emphasises the importance of constant personal attention and good communication in labour Discusses in detail the need to distinguish between: - first and subsequent births - single cephalic and all other pregnancies - induction and acceleration of labour Fosters the development of a team spirit between midwife and obstetrician Demonstrates how good labour ward organisation can improve care Proves the importance of audit in ensuring quality of care Updated chapters on dystocia and caesarean section New key points summary at the end of each chapter Updated review of clinical outcomes at the National Maternity Hospital
The Requisites in Obstetrics and Gynecology is a series of volumes that offers a concise overview of the field of obstetrics and gynecology in the following areas: High Risk Obstetrics, General Gynecology, Gynecologic Oncology, and Reproductive Endocrinology and Infertility. Each volume contains the core material that is fundamental to each area and includes a presentation that allows the user to absorb the information quickly and thoroughly. This volume is devoted to General Gynecology, which covers care of the female patient outside of pregnancy or during the initial weeks of pregnancy. Topics include gynecologic imaging, family planning, congenital and developmental abnormalities, abnormal uterine bleeding, and pelvic floor disorders.
Originally published in 1979, this study looks at the experience of childbearing from three viewpoints: first and foremost from that of the childbearing women; but in addition it considers the views and experiences of midwives and consultant obstetricians.It examines the proportion of induced labours and questions who is induced, when, where and why and how. Comparisons are then made between induced and non-induced labours of mothers’ experiences of labour and delivery and then of the babies conditions and the early relationships between the mothers and babies. Women’s views of their experiences, their attitudes to the information they were given, and their choice for treatment at further pregnancies are then examined.In the final chapter induction policies and practices are reviewed in the light of women’s reactions to their experiences. The implications of the findings are discussed in relation to other innovatory and interventionist procedures and in the context of the women’s movement.