分娩主动治疗

出版时间:2003-12  出版社:北京科文图书业信息技术有限公司  作者:O'Driscoll, K.; Meagher, D.; Robson, Michael  页数:223  

内容概要

  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.

书籍目录

Preface to the Fourth Edition Preface to the Third EditionPreface to the First Edition IntroductionSection I: Text 1 Nulliparous v parous women  2 Induction v acceleration  3 Malpresentations, malformation,twins  4 Duration of labour  5 Diagnosis of labour  6 Progress: first stage  7 Progress: second stage  8 Acceleration of slow labour  9 Oxytocin in labour  10 Normal and abnormal labour(dystocia)  11 Inefficient uterine action  12 Cephalopelvic disproportion  13 Occipitoposterior position  14 Trauma  15 Pain  16 Antenatal preparation  17 Analgesic drugs  18 Epidural anaesthesia  19 Personal attention  20 Role of the doctor  21 Role ofthe nurse/midwife  22 Role of the mother  23 Care of the fetus  24 Induction  25 Organization  26 Cervix in labour  27 Caesarean section rates  28 Cerebral palsy Section II: Visual Records Nulliparous labour 1 Nulliparous labour  2 Duration of labour  3 Diagnosis of labour  4 Progress in labour  5 Care of'the fetus  6 Oxytocin  7 Analgesia  8 Method of deliver and additional items  9 Normal labour (1)  10 Normal labour (2)  11 Normal labour (3)  12 Abnormal labour: slow progress(I)  13 Abnormal labour: slow progress(2)  14 Abnormal labour: slow progress(3)  15 Abnormal labour: secondary arrest(1)  16 Abnormal labour: secondary arrest(2)  17 Method of treatment: artificial rupture of membranes  18 Method of treatment: oxytocin infusion (I)  19 Method of treatment: ox),tocin infusion (2)  20 Failure to respond to treatment:error in diagnosis  21 Failure to respond to treatment:membranes intact  22 Failure to respond to treatment:hesitant use of oxytocin  23 Failure to respond to treatment:cephalopelvic disproportion

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