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Proactive Support of Labor
The Challenge of Normal Childbirth

2nd Edition

  • Authors:
  • Paul Reuwer, Department of Obstetrics, St Elisabeth Hospital, Tilburg
  • Hein Bruinse, Department of Obstetrics and Gynecology, Utrecht University Medical Center
  • Arie Franx, Department of Obstetrics, St Elisabeth Hospital, Tilburg
  • Date Published: August 2015
  • availability: In stock
  • format: Paperback
  • isbn: 9781107426580


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About the Authors
  • 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
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    Reviews & endorsements

    '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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    Product details

    • Edition: 2nd Edition
    • Date Published: August 2015
    • format: Paperback
    • isbn: 9781107426580
    • length: 216 pages
    • dimensions: 246 x 189 x 13 mm
    • weight: 0.45kg
    • contains: 16 b/w illus. 12 tables
    • availability: In stock
  • Table of Contents

    Foreword to the first edition
    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

  • Authors

    Paul Reuwer, Department of Obstetrics, St Elisabeth Hospital, Tilburg
    Paul Reuwer is Consultant Obstetrician-Gynecologist and Master of the Labor and Delivery Unit at St Elisabeth Hospital, Tilburg, The Netherlands.

    Hein Bruinse, Department of Obstetrics and Gynecology, Utrecht University Medical Center
    Hein Bruinse is Chairman of the Dutch National Perinatal Audit Foundation, The Netherlands.

    Arie Franx, Department of Obstetrics, St Elisabeth Hospital, Tilburg
    Arie Franx is Professor of Obstetrics and Chair of the Division of Woman and Baby, University Medical Centre Utrecht, The Netherlands.

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