Current knowledge of medicine is a vast ocean of new ideas and fresh data. New recommendations and guidelines are accumulating at a rate that the practitioner has difficulty keeping up with. Postgraduates in obstetrics must keep abreast with this knowledge, not only to face their examinations but also to be able to go forth in their career and provide the best support to the women under their care.
The fourth edition of The Management of Labour has been updated extensively to enable the obstetrician to provide the safest care for the woman in labour. The book has been divided into clear, rational, practical, and well-illustrated sections that progress from the physiology of labour to the management of normal and complicated labour. New concepts in patient care such as enhanced recovery after cesarean (ERAC) have been included to make the book absolutely current. To help the obstetrician acquire balanced and comprehensive skills, immediate postpartum care, management of the normal and abnormal puerperium, the immediate care of the newborn in the labour room and neonatal resuscitation have also been included. To round off the book, respectful maternity care and the role of the birth companion are important issues that have been addressed in a dedicated chapter.
Important information has been presented in tables, algorithms, and ‘key points’ for easy recall.
Contributions from experts in the field make this book a practical and real-world guide to the practice of obstetrics. The focus is clearly on the parturient and the common problems faced in labour. Evidence-based recommendations present the obstetric caregiver with unambiguous and precise clinical guidelines.
The postgraduate student as well as the practitioner will find this book an invaluable companion in the practice of obstetrics.
Sir Sabaratnam Arulkumaran, Professor Emeritus, St George’s University of London; formerly President, International Federation of Gynecology and Obstetrics (FIGO), British Medical Association, and Royal College of Obstetricians & Gynaecologists, UK
Dr Gita Arjun, Former Senior Obstetrician & Gynaecologist, E V Kalyani Medical Centre, Director, E V Kalyani Medical Foundation, Chennai
Dr Uma Ram, Director and Lead Consultant, Seethapathy Clinic and Hospital, Chennai; All India Chair, AICC RCOG
Section I: The Process of Labour 1. The Physiology of Labour Sheila Balakrishnan 2. Mechanics, Mechanism, and Stages of Labour Lakshmi Seshadri
Section II: Intrapartum Management 3. Respectful Obstetric Care and the Role of a Birth Companion Sirisha Rao G, Evita Fernandez 4. Management of the First and Second Stages of Normal Labour Gita Arjun 5. Management of the Third Stage of Labour Basab Mukherjee, Poushali Sanyal 6. Monitoring Labour: Partograph to Labour Care Guide Anandhi Venkatesan, Uma Ram 7. Episiotomy: What Does the Evidence Say? A Tamilselvi 8. Fetal Surveillance in Labour Sabaratnam Arulkumaran 9. Labour Analgesia M Subrahmanyam, Sailaja K 10. Immediate Postpartum Monitoring and Care (Including Postpartum Collapse) Jiji Elizabeth Mathews, Richa Sasmita Tirkey
Section III: Intrapartum Management of Complicated Labour 11. Abnormalities in the Latent Phase and the Active First Stage of Labour Kalaivani Ramalingam 12. Abnormalities in the Second Stage of Labour Manjiri Khare, Gauri Karandikar 13. Abnormalities in the Third Stage of Labour: Postpartum Hemorrhage and Retained Placenta Sam Ononge, Andrew D Weeks 14. Induction and Augmentation of Labour Shobana Mahadevan, Amritha Karthik 15. Identification and Management of Fetal Distress Sabaratnam Arulkumaran 16. Meconium-Stained Amniotic Fluid N Hephzibah Kirubamani 17. Management of Labour in Multiple Pregnancy Nashwa Eltaweel, Helena Blakeway, Asma Khalil 18. Obstructed Labour and Uterine Rupture Kanika Chopra, Manju Puri 19. Antibiotic Prophylaxis in Labour and Delivery Gita Arjun 20. Role of Ultrasound in the Labour Room Mariya Kovalenko, Sana Usman, Arwa Hanidu, Christoph Lees
Section IV: Operative Obstetrics 21. Operative Vaginal Delivery Tulika Singh, Samera A Khalil 22. Cesarean Section: Procedure and Technique Gita Arjun 23. Reducing Cesarean Section Rates Gita Arjun 24. Peripartum Hysterectomy V P Paily, G Raji Raj
Section V: Obstetric Skills 25. Prevention and Management of Perineal Trauma Occurring in Childbirth Stergios K Doumouchtsis, Maria Patricia Roman 26. Vaginal Birth After Cesarean Delivery Pranathi Reddy 27. Breech Delivery Lakshmi Seshadri 28. Shoulder Dystocia B S Susheela Rani
Section VI: Management of Obstetric Complications 29. Antepartum Hemorrhage Nishita Mehta, Amarnath Bhide 30. Preterm Labour and Preterm Prelabour Rupture of Membranes Sareena Gilvaz, Deepthi D Nair 31. Late Term and Postterm Pregnancy Nozer Sheriar 32. Late Intrauterine Fetal Death and Stillbirth A G Radhika, Richa Aggarwal 33. Management of Labour with a Growth-Restricted Fetus Tony Tan 34. Management of Labour with Fetal Macrosomia Manisha Madhai Beck, Nitin Alexander Abraham 35. Malpositions and Malpresentations (Other Than Breech) Jyothi Unni 36. Management of Labour in Women with Fibroids Gita Arjun
Section VII: Management of Labour with Medical Disorders 37. The Hypertensive Woman in Labour Nuzhat Aziz, Sailaja Devi Kallur 38. Management of Labour in a Woman with Diabetes Lakshmi Shanmugasundaram, Uma Ram 39. Other Medical Disorders: Cardiac Disorders, Antiphospholipid Syndrome, Hepatic Disorders, and Epilepsy Tarakeswari S
Section VIII: Management of Labour with Current Infection 40. SARS-CoV-2 Sophie Relph, Pat O’Brien 41. Chickenpox Mandira Dasgupta, Bhaskar Pal 42. HIV Pallavi Chandra Ravula, Hemamalini Vadlamani
Section IX: Neonatal Care 43. Routine Care of the Newborn Swathi Padankatti 44. Neonatal Resuscitation V Lakshmi
Section X: The Puerperium 45. The Normal Puerperium Mathangi Thirunavakkarasu 46. Abnormalities in the Puerperium Muralidhar V Pai
Index