By David Liu, Susan R. Sloan
An in depth revision of this well-illustrated, useful guide brings it brand new with vital provider and perform adjustments. masking all points of work administration, the emphasis is still on general, secure deliveries in neighborhood devices or hospitals.
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Extra info for Labour Ward Manual
Identify and treat the cause of bleeding. 1 gives details of blood component therapy. 1 37 Blood component therapy • O negative blood should be available in the delivery suite. This carries a small risk of sensitization to 'c' antigen. • Full infection screen is necessary for fresh whole blood. • After 48 hours storage, platelet numbers and function of important clotting factors (V and VIII) are reduced. • Full cross match of blood may take up to an hour. • Fresh frozen plasma (FFP) is separated from whole blood within 6 hours of donation and stored for up to one year at -20°C to -30°C.
Books For Midwives Press, Cheshire, p 135-142 Hall J 1999 Home birth: the midwife effect. British Journal of Midwifery 7(4): 225-227 Hartley J 1998 The use of water during labour and birth. RCM Midwives Journal 1(12): 366-369 Honor P 1997 Review of the maternity services 1996/7. District Audit, Southampton House of Commons Health Committee 1992 Maternity Services Second Report (Winterton Report). HMSO, London Johnson P 1996 Birth under water - to breathe or not to breathe. British Journal of Obstetrics and Gynaecology 103(3): 202-208 Nicum R, Karoo R 1998 Expectations and opinions of pregnant women about medical students being involved in care at the time of delivery.
Before dilatation can occur a process of thinning and shortening, or effacement, must take place. During pregnancy and early labour physiological changes are directed towards softening of the cervix (Fig. 9). Effacement reflects the existence of uterine activity and indicates the ease and readiness of the cervix to dilate. Once the effaced cervix can no longer resist uterine contractions, dilatation begins. • Before removal of the speculum check for normality of the cervix, for the presence of vaginal infection and for evidence of varicosities.
Labour Ward Manual by David Liu, Susan R. Sloan