Proactive Support of Labor: The Challenge of Normal Childbirth

Paul Reuwer; Hein Bruinse; Arie Franx

doi:10.1017/CBO9780511575822

Proactive Support of Labor enhances professional labor and delivery skills by providing the expertise for preventing prolonged labor which is the root-cause of women's dissatisfaction with the experience of childbirth. Step-by-step, evidence-based guidance on good practice during labor is given, including fetal and maternal monitoring, pain relief, and the prevention and timely correction of everyday labor disorders. It leaves no aspect of childbirth practice untouched. Included are guidance on adequate pre-labor education, psychological support, and well-defined birth-planning - including strict diagnoses and timely corrective measures in abnormal labor, and constant audit of all procedures. The birth-plan promotes team spirit between obstetricians, midwives and nurses, good communication, and sound organization. Proactive Support of Labor strikes a new balance between natural birth and intervention and invariably enhances women's satisfaction with the childbirth experience. The book will be essential reading for obstetricians, midwives, labor room nurses, and maternal-fetal medicine specialists and trainees. For more information, reviews and forums visit the publication's website at www.proactivesupportoflabor.com.

'This is a brave and commendable book, which 'pulls no punches' when discussing the ills and challenges of 'medical excess' in normal childbirth.'

Source: Journal of Obstetrics and Gynaecology

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Contents

Frontmatter
pp i-vi
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Contents
pp vii-viii
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Foreword
pp ix-x
- By Grunebaum Amos, Director of Obstetrics, New York Weill Cornell Medical College, New York Presbyterian Hospital, A Chervenak Frank, Chairman of Obstetrics and Gynecology, New York Weill Cornell Medical College, New York Presbyterian Hospital
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Acknowledgments
pp xi-xii
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Web-Forum
pp xiii-xiv
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1 - General introduction
pp 1-6
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Section 1 - A wake-up call
pp 7-8
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2 - Medical excess in normal childbirth
pp 9-18
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3 - Iatrogenic causes of failed labors
pp 19-26
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4 - Harmful birth care practices
pp 27-34
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5 - Destructive territorial disputes
pp 35-41
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6 - Self-sustaining mechanisms
pp 42-52
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Section 2 - Back to basics
pp 53-54
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7 - Lessons from nature
pp 55-58
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8 - Elementary biophysics of birth
pp 59-69
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9 - First-stage labor revisited
pp 70-78
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10 - Second-stage labor redefined
pp 79-83
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11 - Definitions and verbal precision
pp 84-92
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Section 3 - Proactive support of labor
pp 93-94
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12 - Introductory synopsis
pp 95-103
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13 - Nulliparous versus parous labor
pp 104-109
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14 - Diagnosis of labor
pp 110-120
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15 - Prevention of long labor
pp 121-130
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16 - Personal continuity and continuous support
pp 131-137
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17 - Amniotomy and oxytocin
pp 138-149
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18 - Labor pain in broader perspective
pp 150-156
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19 - Prelabor preparation
pp 157-162
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20 - Medical pain relief revisited
pp 163-174
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21 - Dynamic dystocia unraveled
pp 175-189
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22 - Mechanical birth obstruction
pp 190-201
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The Challenge of Normal Childbirth

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