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Proactive Support of Labor


  • 16 b/w illus. 12 tables
  • Page extent: 216 pages
  • Size: 246 x 189 mm
  • Weight: 0.45 kg

Library of Congress

  • Dewey number: 618.2
  • Dewey version: 23
  • LC Classification: RG524
  • LC Subject headings:
    • aMaternal Health Services.
    • aDelivery, Obstetricxmethods.
    • aNatural Childbirth.
    • aObstetric Labor Complicationsxprevention & control.
    • aPregnancy Outcome.

Library of Congress Record


 (ISBN-13: 9781107426580)

The right for every woman to have a 'natural' birth has been recognized for many years, yet surgical interventions continue to rise and, paradoxically, complaints and the degree of litigation for disappointing labor outcomes escalate. Proactive Support of Labor enhances professional skills by providing the expertise for preventing long labors - the root-cause of traumatic birth experiences and the cesarean pandemic. Step-by-step, evidence-based guidance on expert care and support during labor is given. Emphasis is placed on pre-labor education, personal attention, and well-defined birth planning – including strict diagnoses and timely corrective measures in abnormal labor – and constant audit of all procedures and outcomes. Striking a new balance between natural birth and intervention, and invariably enhancing women's satisfaction with the childbirth experience, the fully updated revision of this groundbreaking work will be essential reading for obstetricians, midwives, nurses, and trainees. For peer and reader reviews of the first edition see:

• A deeply researched analysis of the ills and challenges of current obstetrics and midwifery, debunking fallacies from the misapplication of EBM - an eye-opener for many birth professionals and pregnant women • An in-depth reinterpretation of the basic biophysics dominating the natural process of birth - revaluates the basic science of parturition, reinstating real, evidence-based practice • A step-by-step exposition of all medical and non-medical components of a safe, simple, and high-quality childbirth system, supported by the best possible clinical evidence - introduces a safe, simple, and high quality birth-plan, universally applicable; promotes a spontaneous, safe and rewarding labor and delivery; and greatly improves women's satisfaction with the childbirth experience


Foreword to the first edition; Preface; Dedication; Web-links; 1. General introduction; Part I. A Wake-up Call: 2. Medical excess in normal childbirth 3. Avoidable causes of failed labors; 4. Harmful birth care practices; 5. Destructive territorial disputes; 6. Self-sustaining mechanisms; Part II. Back to Basics: 7. Forgotten lessons from nature; 8. Elementary biophysics of birth; 9. Definitions and verbal precision; 10. First-stage labor revisited; 11. Second-stage labor redefined; Part III. Proactive Support of Labor: 12. Leading principles; 13. Nulliparous versus parous labor; 14. Diagnosis of labor; 15. Prevention of long labor; 16. Personal attention and support; 17. Amniotomy and oxytocin; 18. Pre-labor preparation; 19. Affective dimensions of labor pain; 20. Pain relief re-examined; 21. Dynamic dystocia unraveled; 22. Obstructed labor; 23. Curtailed use of induction; 24. Safe care of the fetus; 25. Organizational reforms; 26 Implementation and ongoing audit cycle; 27. External audit of procedures and outcomes; Index.


'This book is worthwhile reading for everybody involved in birth care, especially for junior staff with limited obstetric training … It is a good teaching resource in developing countries and provides a good starting point for cooperation between primary and secondary care providers.' Arie C. Glas, Bulletin of the Netherlands Society for Tropical Medicine and International Health

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